| Release And Govern Therapeutic Services, Llc | |
|
6755 Business Pkwy Ste 309 Elkridge MD 21075-6740 | |
| (443) 308-3618 | |
| Not Available |
| Full Name | Release And Govern Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6755 Business Pkwy Ste 309, Elkridge, Maryland |
| Authorized Official Name and Position | Lorie-ann Brown (OWNER) |
| Authorized Official Contact | 4433083618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Release And Govern Therapeutic Services, Llc 6755 Business Pkwy Ste 309 Elkridge MD 21075-6740 Ph: (443) 308-3618 | Release And Govern Therapeutic Services, Llc 6755 Business Pkwy Ste 309 Elkridge MD 21075-6740 Ph: (443) 308-3618 |
| NPI Number | 1124751193 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 12/17/2023 |
| Certification Date | 12/17/2023 |
| Medicare PECOS PAC ID | 4183077266 |
|---|---|
| Medicare Enrollment ID | O20240124004351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124751193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lorie-ann Jennievie Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245900414 PECOS PAC ID: 6901259084 Enrollment ID: I20240124004441 |
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