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NPI 1396124038

NPI 1396124038 : RELATIONAL EXCELLENCE, LLC : SILVER SPRING, MD

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General NPI Number Information
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    NPI Number           |    1396124038
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELATIONAL EXCELLENCE, LLC 
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Dates
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    Enumeration Date     |    05/27/2015
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    Last Update Date     |    02/12/2019
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Provider Practice Location Address
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    Address Line         |    8720 GEORGIA AVE SUITE 205
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20910-3638
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    Country              |    US
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    Telephone            |    202-531-0231
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    Fax                  |    888-907-0899
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Provider Business Mailing Address
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    Address Line         |    8720 GEORGIA AVE SUITE 205
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20910-3638
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    Country              |    US
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    Telephone            |    202-531-0231
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. JERIESHA JANELL HODGE 
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    Credential           |    LCPC
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    Telephone            |    202-531-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    LC6401
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    License Number State |    MD
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Taxonomy #5
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    LC6401
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    License Number State |    MD
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Taxonomy #6
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LC6401
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    License Number State |    MD
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Taxonomy #7
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LC6401
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    License Number State |    MD
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Taxonomy #8
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    LC6401
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    License Number State |    MD
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