MORDECAI ANDEMICHAEL
NPI 1164057675
Counselor in Laurel, MD
- Individual
- Male
- Counselor
About MORDECAI ANDEMICHAEL
This page provides the complete NPI Profile along with additional information for Mordecai Andemichael, a provider established in Laurel, Maryland with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1164057675 assigned on March 2020. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1164057675 Verify this NPI
- Provider Name
- MORDECAI ANDEMICHAEL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9660 IRON LEAF TRL LAUREL, MD 20723
- Location Phone
- (301) 490-1011
- Mailing Address
- 7885 KING ARTHUR CT WHITE PLAINS, MD 20695
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-04-2020
- Last Update Date
- 03-04-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164057675, enumerated as an "individual" on March 04, 2020.
The provider is located at 9660 IRON LEAF TRL LAUREL, MD 20723 and the phone number is (301) 490-1011.
Counselor with taxonomy code 101Y00000X.