Organization · Type 2 NPI
Resilient Reimagine Inc
Addiction (Substance Use Disorder) Counselor · Laurel, MD
NPI number
1003770140
Active
Practice location
14440 Cherry Lane Ct Ste 114
Laurel, MD 20707-4946
Fax (302) 719-0421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Psychologist | 103T00000X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Clinical Psychologist | 103TC0700X | None listed |
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Forensic Psychologist | 103TF0200X | None listed |
| Rehabilitation Psychologist | 103TR0400X | None listed |
| Basic Emergency Medical Technician | 146N00000X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Case Management Registered Nurse | 163WC0400X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1003770140
Resilient Reimagine Inc's National Provider Identifier is 1003770140, issued on Dec 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Laurel, MD. The record was last updated on Dec 12, 2025.