Provider Demographics
NPI:1528442787
Name:MS. & MR. LITTLE ONES, INC.
Entity type:Organization
Organization Name:MS. & MR. LITTLE ONES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:DENISE GRAYNED
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C & LICSW
Authorized Official - Phone:240-375-6512
Mailing Address - Street 1:10333 CASSIDY CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3761
Mailing Address - Country:US
Mailing Address - Phone:240-375-6512
Mailing Address - Fax:
Practice Address - Street 1:5210 AUTH RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-4330
Practice Address - Country:US
Practice Address - Phone:240-375-6512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500782221041C0700X
MD128791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty