| Reveal Your Truth LLC. | |
|
4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 | |
| (240) 694-7198 | |
| (240) 800-1953 |
| Full Name | Reveal Your Truth LLC. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4500 Forbes Blvd Ste 200, Lanham, Maryland |
| Authorized Official Name and Position | Tedrina Aitkins (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2406947198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reveal Your Truth LLC. 4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 Ph: (240) 694-7198 | Reveal Your Truth LLC. 4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 Ph: (240) 694-7198 |
| NPI Number | 1053085753 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 07/09/2023 |
| Certification Date | 07/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053085753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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