Reveal Your Truth LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REVEAL YOUR TRUTH LLC.

Practice address

4500 Forbes Blvd Ste 200
Lanham, MD 20706-6316

Phone

(240) 694-7198

Fax

(240) 800-1953

NPI assigned

Aug 5, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tedrina Aitkins, LCSW-C, LICSWNPI 1871096982

Title

Clinical Director

Phone

(240) 694-7198

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tedrina N Aitkins

  • Clinical Social Worker
  • Lanham, MD
  • NPI 1871096982
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688860800000",
    "number": "1053085753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FORBES BLVD STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066316",
            "telephone_number": "240-694-7198",
            "fax_number": "240-800-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORBES BLVD STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066316",
            "telephone_number": "240-694-7198",
            "fax_number": "240-800-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL YOUR TRUTH LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "AITKINS",
        "authorized_official_first_name": "TEDRINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-694-7198",
        "authorized_official_credential": "LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Lanham, MD
• Providers in Lanham, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.