| Organization Name: | MIRARCHI & KELLY LCSW PA |
| NPI Number: | 1750417267 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RALPH JOSEPH MIRARCHI (PRESIDENT) |
| Mailing Address: | 1810 Bel Air Rd Suite 203 Fallston |
| State: | MD US |
| Postal Code: | 210472729 |
| Phone Number: | 4108797269 |
| Fax Number: | 4108797269 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |