Organization
COMMUNITY RESILIENCY INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKEITH BARRY SUTTON DSW, LCSW (CO-FOUNDER)
(202) 643-3592
Entity
Organization
Contact information
Practice address
4518 BEECH RD STE 230, TEMPLE HILLS, MD 20748-6735
(202) 643-3592
Mailing address
4518 BEECH RD STE 230, TEMPLE HILLS, MD 20748-6735
(202) 643-3592
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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