SARAH BONG AGBOLI (NPI# 1578884201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578884201 |
| Entity Type | Individual |
| Full Name | SARAH BONG AGBOLI |
| Credential | LCMFT |
| Practice Address |
10630 Little Patuxent Pkwy Suite 209 Columbia MD 21044-3264 |
| Practice Telephone | 4107408069 |
| Mailing Telephone | 4107408069 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2014-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LCM369 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10630 LITTLE PATUXENT PKWY SUITE 209 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909730 | Mark David Donovan | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-3264 | 2005-08-11 |
| 1194385138 | Halcyon Clinical Services, LLC | Clinic/Center | 10630 Little Patuxent Pkwy, Columbia, MD 21044 | 2019-06-20 |
| 1902369168 | Nana A Mensah | Nurse Practitioner | 10630 Little Patuxent Pkwy, Columbia, MD 21044 | 2019-04-12 |
| 1285103846 | Valeree Tolios | Counselor | 10630 Little Patuxent Pkwy, Columbia, MD 21044-3264 | 2018-11-13 |
| 1376075754 | Elaine Irene Johnson | Psychologist | 10630 Little Patuxent Pkwy, Suites 209 and 209a, Columbia, MD 21044-3264 | 2017-04-03 |
| 1477094233 | Ashley Obrecht Harig | Counselor | 10630 Little Patuxent Pkwy, Suites 209 and 209a, Columbia, MD 21044-3264 | 2017-03-13 |
| 1437694106 | Maria B Adamos | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 | 2017-01-04 |
| 1972046654 | Deana Albert | Social Worker | 10630 Little Patuxent Pkwy, Suite 313, Columbia, MD 21044-6216 | 2016-11-29 |
| 1184176422 | Laura Bass | Counselor | 10630 Little Patuxent Pkwy, 209, Columbia, MD 21044-3264 | 2016-11-03 |
| 1477008647 | Cecily Virginia Culp | Counselor | 10630 Little Patuxent Pkwy, 209, Columbia, MD 21044-3264 | 2016-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359349 | Renee Clark | Marriage & Family Therapist | 6440 Dobbin Rd, Columbia, MD 21045-4770 | 2020-02-26 |
| 1437796778 | Nicole Filipe | Marriage & Family Therapist | 6216 Three Apple Downs, Columbia, MD 21045-7419 | 2019-12-05 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1629551635 | Charles Mcgeiver | Marriage & Family Therapist | 9650 Santiago Rd Ste 101, Columbia, MD 21045-3958 | 2018-09-14 |
| 1225543325 | Taylor Norene Baker | Marriage & Family Therapist | 8894 Stanford Blvd Ste 103, Columbia, MD 21045-5161 | 2017-12-11 |
| 1609303650 | Angela Lynn Waldrop | Marriage & Family Therapist | 2917 Millwood Ave Bldg B, Columbia, SC 29205-1334 | 2017-05-20 |
| 1669869327 | Nicholas Wayne Bloodworth | Marriage & Family Therapist | 441 E 80 Dr, Columbia, KY 42728-8927 | 2015-04-21 |
| 1326430844 | Stacy Jagger | Marriage & Family Therapist | 807 Nashville Hwy, Suite 7, Columbia, TN 38401 | 2015-02-20 |
| 1659684330 | Lisa Marie Cooke-branham | Marriage & Family Therapist | 9 Clusters Ct Ste A, Columbia, SC 29210-4862 | 2010-07-22 |
| 1134362791 | Edward Rodney Linton | Marriage & Family Therapist | 902 South High Street, Columbia, TN 38401-3204 | 2009-04-13 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.