OrganizationActive
Mindful Marriage and Family Therapy, LLC
NPI 1407359268 · Mental Health Clinic/Center (Including Community Mental Health Center) · Ijamsville, MD
Provider details
- NPI number
- 1407359268
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leslee Bry, Owner(301) 514-8120
- License
- LCM570 (MD)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense LCM570 (MD)
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2502 Urbana Pike
Ijamsville, MD 21754-8602
Phone: (301) 281-4963
Street-level locationGet directions
Mailing address
5257 Buckeystown Pike # 123
Frederick, MD 21704-7535
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2018-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.