Organization
RONALD GRAY MEDLIN, INSTITUTE OF LIFE AND HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GRAY MEDLIN PH.D., LCADC (OWNER,PROGRAM DIRECTOR)
(301) 627-3007
Entity
Organization
Contact information
Practice address
5311 WATER ST, SUITE D, UPPER MARLBORO, MD 20772-3056
(301) 627-3007
Mailing address
5311 WATER ST, SUITE D, UPPER MARLBORO, MD 20772-3056
(301) 627-3007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA352
MD
101YM0800X
Mental Health Counselor
LCA352
MD
103T00000X
Psychologist
LCA352
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LCA352
MD
103TF0000X
Family Psychologist
LCA352
MD
103TH0100X
Health Service Psychologist
LCA352
MD
106H00000X
Marriage & Family Therapist
LCA352
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LCA352
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GQ24RC
BLUECROSS BLUESHIELD
MD
Enumeration date
04/17/2007
Last updated
03/19/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us