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Organization
RESTORE & THRIVE LLC.
Active
Organization
RESTORE & THRIVE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERICKA MILLER PMHNP (OWNER)
(240) 583-0262
Entity
Organization
Contact information
Practice address
5501 TWIN KNOLLS RD STE 107, COLUMBIA, MD 21045-3260
(240) 583-0262
Mailing address
5501 TWIN KNOLLS RD STE 107, COLUMBIA, MD 21045-3260
(240) 583-0262
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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