Provider Demographics
NPI:1801332200
Name:MARRIAGE AND FAMILY THERAPY SERVICES LLC
Entity type:Organization
Organization Name:MARRIAGE AND FAMILY THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:BLESSING
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-569-8845
Mailing Address - Street 1:2020 PENNSYLVANIA AVE NW # 272
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1811
Mailing Address - Country:US
Mailing Address - Phone:202-569-8845
Mailing Address - Fax:
Practice Address - Street 1:2020 PENNSYLVANIA AVE NW # 272
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1811
Practice Address - Country:US
Practice Address - Phone:202-569-8845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLMFT000177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty