RYAN REHABILITATION LLC NPI 1780164087

NPI Information

  • NPI: 1780164087
  • Provider Name: RYAN REHABILITATION LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 19630 CLUB HOUSE RD STE 715
    MONTGOMERY VILLAGE, MD
    ZIP 20886
  • Phone: (301) 258-7771

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NPI Details

RYAN REHABILITATION LLC is an addiction (substance use disorder) counselor in Montgomery Village, MD. RYAN REHABILITATION LLC NPI is 1780164087. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

19630 CLUB HOUSE RD STE 715
MONTGOMERY VILLAGE, MD
ZIP 20886
Phone: (301) 258-7771
Fax: (301) 258-9078

The provider's authorized official is Melanie Suthard .
The authorized official title is Billing Manager and has the following contact phone number (301) 942-9773.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 9/25/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YM0800XCounselorMental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1654084800MEDICAIDMARYLAND

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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