RESILIENT REIMAGINE INC NPI 1003770140

NPI Information

  • NPI: 1003770140
  • Provider Name: RESILIENT REIMAGINE INC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 14440 CHERRY LANE CT STE 114
    LAUREL, MD
    ZIP 20707
  • Phone: (301) 237-4369

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NPI Details

RESILIENT REIMAGINE INC is an addiction (substance use disorder) counselor in Laurel, MD. RESILIENT REIMAGINE INC NPI is 1003770140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14440 CHERRY LANE CT STE 114
LAUREL, MD
ZIP 20707-946
Phone: (301) 237-4369
Fax: (302) 719-0421

The provider's authorized official is Angella B Julius .
The authorized official title is Managing Partner and has the following contact phone number (301) 237-4369.

The enumeration date for this NPI number is 12/12/2025 and was last updated on 12/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)No
4103TC0700XPsychologistClinicalNo
5103TC2200XPsychologistClinical Child & AdolescentNo
6103TF0200XPsychologistForensicNo
7103TR0400XPsychologistRehabilitationNo
8146N00000XEmergency Medical Technician, BasicNo
9163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
10163WC0400XRegistered NurseCase ManagementNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
13101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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