Provider Demographics
NPI:1679385355
Name:AHMAD, FATIMA (MS, LGPC)
Entity type:Individual
Prefix:
First Name:FATIMA
Middle Name:
Last Name:AHMAD
Suffix:
Gender:
Credentials:MS, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W COLD SPRING LN APT 407
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1470
Mailing Address - Country:US
Mailing Address - Phone:443-570-3529
Mailing Address - Fax:
Practice Address - Street 1:9891 BROKEN LAND PKWY STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3001
Practice Address - Country:US
Practice Address - Phone:667-220-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP16243101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health