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Ronald Gray Medlin, Institute Of Life And Health
Mental Health Clinic/Center (Including Community Mental Health Center) in Upper Marlboro, Maryland
NPI 1437375615

Ronald Gray Medlin, Institute Of Life And Health is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Upper Marlboro, MD and is specialized in Mental Health (Including Community Mental Health Center). Ronald Gray Medlin, Institute Of Life And Health practices in Upper Marlboro, MD. The NPI Number for Ronald Gray Medlin, Institute Of Life And Health is 1437375615 and holds a License No. LCA352 (Maryland).

The current practice location address for Ronald Gray Medlin, Institute Of Life And Health is 5311 Water St, Upper Marlboro, MD and can be reached out via phone at 301-627-3007. You can also correspond with Ronald Gray Medlin, Institute Of Life And Health through the mailing address at 5311 WATER ST, UPPER MARLBORO, MD - 20772-3056 (mailing address contact number: 301-627-3007).

Location: 5311 Water St, Upper Marlboro, MD, 20772-3056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437375615
Provider Name
Ronald Gray Medlin, Institute Of Life And Health
Credential
Provider Entity Type
Organization
Address
5311 Water St, Upper Marlboro, MD, 20772-3056
Phone Number
301-627-3007
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GQ24RC 01 MD BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
5311 Water St
City
Upper Marlboro
State
Maryland
Zip
20772-3056
Phone Number
301-627-3007
Fax Number
person
Provider Business Mailing Address Details
Address
5311 Water St
City
Upper Marlboro
State
Maryland
Zip
20772-3056
Phone Number
301-627-3007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCA352 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCA352 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LCA352 (Maryland)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
LCA352 (Maryland)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Family
Taxonomy
103TF0000X
License No.
LCA352 (Maryland)
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
person
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
LCA352 (Maryland)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
person
Provider's Taxonomy Details 7
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LCA352 (Maryland)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
LCA352 (Maryland)
Definition
Definition to come...
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