Provider Demographics
NPI:1447469101
Name:MORAD-MCCOY, MICHAEL (PHD, LPCC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:MORAD-MCCOY
Suffix:
Gender:M
Credentials:PHD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 GEORGIA AVE STE 712
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3439
Mailing Address - Country:US
Mailing Address - Phone:202-505-1848
Mailing Address - Fax:
Practice Address - Street 1:8601 GEORGIA AVE STE 712
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3439
Practice Address - Country:US
Practice Address - Phone:202-505-1848
Practice Address - Fax:240-788-6198
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0159911101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM159911OtherLPCC
MDLC12685OtherLICENSED PROFESSIONAL CLINICAL COUNSELOR
DCPRC200001432OtherLICENSED PROFESSIONAL COUNSELOR
220552OtherNCC