Healthcare Provider Details
I. General information
NPI: 1194605824
Provider Name (Legal Business Name): SECURE CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8115 FENTON ST
SILVER SPRING MD
20910-4700
US
IV. Provider business mailing address
18803 IMPULSE LN
GAITHERSBURG MD
20879-1793
US
V. Phone/Fax
- Phone: 240-660-6464
- Fax:
- Phone: 240-660-6464
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALBERT
DELON
REED
JR.
Title or Position: OWNER
Credential: CAMS-II, CPRS, CPSP,
Phone: 240-660-6464