NPI 1003439167
Life Psychotherapy Center LLC
Practice location
- Address
- 10709 Birmingham Way, Woodstock, MD 21163-1403
- Phone
- (410) 995-8184
- Mailing address
- 5479 Green Dory Ln, Columbia, MD 21044-1912
Authorised official
- Name
- Miya Williams
- Title
- Owner/Therapist
- Phone
- (410) 925-8392
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1003439167
- Entity type
- Organization
- NPI issued
- 24 May 2020
- Record last updated
- 24 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.