# RYAN REHABILITATION LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ryan Rehabilitation LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295200400
- **Authorized official:** MELANIE SUTHARD (BILLING MANAGER)
- **Authorized official phone:** (301) 942-9773

## Contact information

- **Practice address:** 5210 AUTH RD STE 100, SUITLAND, MD 20746-4344
- **Practice address phone:** (301) 423-9250
- **Practice address fax:** (301) 423-8735
- **Mailing address:** 19630 CLUB HOUSE RD STE 715, MONTGOMERY VILLAGE, MD 20886-3040
- **Mailing address phone:** (301) 258-7771
- **Mailing address fax:** (301) 258-9078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 09/25/2024