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MAKONNEN THERAPEUTIC SERVICES
NPI 1558893586
Counselor - Professional in Gaithersburg, MD

Active since March 29, 2017
881 FLAGLER DR, GAITHERSBURG, MD 20878(410) 422-3386 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Makonnen Therapeutic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKONNEN THERAPEUTIC SERVICES (NPI 1558893586) is a healthcare organization registered as a professional in Gaithersburg, Maryland and active in the NPI registry since March 2017. The organization lists Raejon Lynne Makonnen, Owner, as its authorized official.

NPPES Registry Identity

NPI1558893586
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMAKONNEN THERAPEUTIC SERVICES
Location Address881 FLAGLER DRGaithersburg, MD 20878-1968
Mailing Address881 Flagler DrGaithersburg, MD 20878-1968 · (410) 422-3386
Phone(410) 422-3386
Organization SubpartNo
Authorized OfficialRaejon Lynne MakonnenOwner · (410) 422-3386
Enumeration DateMarch 29, 2017
✔ NPI 1558893586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC7426
881 FLAGLER DR, Gaithersburg, MD 20878
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Other Identifiers 1

Medicaid1143824MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Makonnen Therapeutic Services's NPI number?

The NPI number for Makonnen Therapeutic Services is 1558893586. It was assigned to this organization in the NPPES registry on March 29, 2017.

Where is Makonnen Therapeutic Services located?

Makonnen Therapeutic Services is located at 881 Flagler Dr, Gaithersburg, MD 20878. The listed phone number is (410) 422-3386.

What is Makonnen Therapeutic Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Makonnen Therapeutic Services was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.