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CHAMP MOULTRIE
NPI 1699437822
Counselor - Professional in Laurel, MD

Active since October 05, 2021
9660 IRON LEAF TRL, LAUREL, MD 20723(443) 687-6827 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Champ Moultrie NPPES

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

CHAMP MOULTRIE (NPI 1699437822) is an individual professional provider in Laurel, Maryland, licensed in Maryland (LGP10255) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1699437822
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHAMP MOULTRIE
Location Address9660 IRON LEAF TRLLaurel, MD 20723-5878
Mailing Address7914 Bentbough RdSevern, MD 21144-1077 · (443) 687-6827
Phone(443) 687-6827
Sole ProprietorNo
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1699437822 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 · LGP10255
9660 IRON LEAF TRL, Laurel, MD 20723
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORDECAI ANDEMICHAEL
Counselor
9660 IRON LEAF TRL
LAUREL, MD 20723
Howard County (301) 490-1011
SOPHIA RIZVI LGPC
Counselor (Mental Health)
9660 IRON LEAF TRL
LAUREL, MD 20723
Howard County (301) 490-1011
MS. LIDIA ESTER HERNANDEZ
Counselor (Mental Health)
9660 IRON LEAF TRL
LAUREL, MD 20723
Howard County (240) 480-6457
CONSTANCE WESLEY LGMFT
Marriage & Family Therapist
9660 IRON LEAF TRL
LAUREL, MD 20723
Howard County (301) 490-1011
MRS. CHANA M JOHNSON LGPC
Counselor (Professional)
9660 IRON LEAF TRL
LAUREL, MD 20723
Howard County (301) 490-1011

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 Champ Moultrie's NPI number?

The NPI number for Champ Moultrie is 1699437822. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Champ Moultrie located?

Champ Moultrie practices at 9660 Iron Leaf Trl, Laurel, MD 20723. The listed phone number is (443) 687-6827.

What is Champ Moultrie'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 Champ Moultrie was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.