Healthcare Provider Details

I. General information

NPI: 1366308694
Provider Name (Legal Business Name): CENTER FOR RENEWING AND HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6903 ROCKLEDGE DR STE 800
BETHESDA MD
20817-7831
US

IV. Provider business mailing address

6903 ROCKLEDGE DR STE 800
BETHESDA MD
20817-7831
US

V. Phone/Fax

Practice location:
  • Phone: 240-448-8813
  • Fax:
Mailing address:
  • Phone: 240-448-8813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH1100X
TaxonomyHolistic Clinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: YOULEN DUFFUS
Title or Position: OWNER
Credential: MD
Phone: 240-448-8813