R.E.A.L. THERAPY
NPI 1952146326
Community/Behavioral Health in District Heights, MD

Active since June 27, 2024
6327 FOSTER ST, DISTRICT HEIGHTS, MD 20747(202) 805-3376 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About R.E.A.L. THERAPY

This page provides the complete NPI Profile along with additional information for R.e.a.l. Therapy, a provider established in District Heights, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1952146326 assigned on June 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Nicolle Roche Waddy Lcpc (Owner)

NPI
1952146326 Verify this NPI
Provider Name
R.E.A.L. THERAPY
Entity Type
Organization
Location Address
6327 FOSTER ST DISTRICT HEIGHTS, MD 20747
Location Phone
(202) 805-3376
Mailing Address
6327 FOSTER ST DISTRICT HEIGHTS, MD 20747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2024
Last Update Date
06-27-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLLE ROCHE WADDY LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(202) 805-3376

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
6327 FOSTER ST
DISTRICT HEIGHTS, MD 20747

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952146326, enumerated as an "organization" on June 27, 2024.

The provider is located at 6327 FOSTER ST DISTRICT HEIGHTS, MD 20747 and the phone number is (202) 805-3376.

Community/Behavioral Health with taxonomy code 251S00000X.