Provider Demographics
NPI:1891505558
Name:PHAREL, LOUIS MARKESS (LMSW)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:MARKESS
Last Name:PHAREL
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9620 HOMESTEAD CT APT G
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1551
Mailing Address - Country:US
Mailing Address - Phone:240-462-0252
Mailing Address - Fax:
Practice Address - Street 1:9620 HOMESTEAD CT APT G
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1551
Practice Address - Country:US
Practice Address - Phone:240-462-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28753101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health