MEDICARE: REBUILDING FHL, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316826688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBUILDING FHL, PLLC

Provider Business Mailing Address
First Line	:	1011 HALLIMONT RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1210
Country	:	US
Telephone Number	:	443-851-3698
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S ELM ST STE 11
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-2883
Country	:	US
Telephone Number	:	336-365-8068
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	TEJA THERESA SMITH
Credential	:	LCSW
Telephone Number	:	443-851-3698

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	12/04/2025

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Directions to “REBUILDING FHL, PLLC ” Practice Location

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