Healthcare Provider Details

I. General information

NPI: 1013854827
Provider Name (Legal Business Name): EXEMPLARY SERVICES ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

13407 BOONES CHAPEL CT
BOWIE MD
20720-5634
US

IV. Provider business mailing address

6710 LAUREL BOWIE RD # 803
BOWIE MD
20715-9998
US

V. Phone/Fax

Practice location:
  • Phone: 240-366-4260
  • Fax: 301-576-7487
Mailing address:
  • Phone: 240-366-4260
  • Fax: 301-576-7487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TRACY DENISE BURRIS
Title or Position: CLINICAL DIRECTOR
Credential: LCPC
Phone: 240-366-4260