Healthcare Provider Details

I. General information

NPI: 1588223051
Provider Name (Legal Business Name): THERAPEUTIC HEALING JOURNEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 EDGERLY RD
GLEN BURNIE MD
21060-7305
US

IV. Provider business mailing address

916 EDGERLY RD
GLEN BURNIE MD
21060-7305
US

V. Phone/Fax

Practice location:
  • Phone: 240-596-9168
  • Fax: 240-238-6354
Mailing address:
  • Phone: 240-596-9168
  • Fax: 240-238-6354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LETTERMAN
Title or Position: OWNER
Credential: LCSW-C
Phone: 240-596-9168