MEDICARE: BRIONA REDMOND LGPC

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	101YM0800X	Mental Health Counselor	LGP16555	MD

General Provider Information

NPI Number	:	1346115961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIONA REDMOND LGPC

Provider Business Mailing Address
First Line	:	10909 HOLLAWAY DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-4643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9135 PISCATAWAY RD STE 220
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-2542
Country	:	US
Telephone Number	:	301-856-3636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “ BRIONA REDMOND LGPC” Practice Location

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