MAKE IT POSSIBLE LLC NPI 1124888656

NPI Information

  • NPI: 1124888656
  • Provider Name: MAKE IT POSSIBLE, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 2255 CRAIN HWY
    SUITE 202
    WALDORF, MD
    ZIP 20601
  • Phone: (757) 803-6399

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NPI Details

MAKE IT POSSIBLE, LLC is a clinical psychologist in Waldorf, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MAKE IT POSSIBLE, LLC NPI is 1124888656. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2255 CRAIN HWY
SUITE 202
WALDORF, MD
ZIP 20601
Phone: (757) 803-6399

The provider's authorized official is Amarilys Galloza Carrero .
The authorized official title is Clinical Psychologist and has the following contact phone number (757) 803-6399.

The enumeration date for this NPI number is 3/21/2024 and was last updated on 3/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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