Ronald Gray Medlin, Institute Of Life And Health

LBN: Ronald Gray Medlin, Institute Of Life And Health
Ronald Gray Medlin, Institute Of Life And Health is an health care organization with primary practice located at 5311 Water St Suite D, Upper Marlboro MD 20772-3056. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Ronald Gray Medlin, Institute Of Life And Health can be contacted via phone (301) 627-3007, or through Medlin, Ronald Gray via phone (301) 627-3007.

Contact Information

Primary practice address
5311 Water St Suite D Upper Marlboro MD 20772-3056
Phone: (301) 627-3007
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medlin, Ronald Gray PH.D., LCADC
Phone: (301) 627-3007

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA352 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCA352 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X LCA352 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X LCA352 Maryland
Behavioral Health & Social Service Providers / Family 103TF0000X LCA352 Maryland
Behavioral Health & Social Service Providers / Health Service 103TH0100X LCA352 Maryland
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LCA352 Maryland
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LCA352 Maryland

Profile Details

NPI number 1437375615
LBN Legal business name Ronald Gray Medlin, Institute Of Life And Health
DBA Doing business as
Authorized official Medlin, Ronald Gray PH.D., LCADC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Mar 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437375615 NPPES
Maryland Other GQ24RC BLUECROSS BLUESHIELD

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