Organization Active NPI

Two Roads Therapy & Consultation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
National Provider Identifier
1326777368
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TWO ROADS THERAPY & CONSULTATION, LLC
Doing business as
Two Roads Therapy & Consultation, LLC
Practice address
14727 4TH St Unit 147
Laurel, MD 20707-3988
Phone
(240) 396-7069
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Renee M Stewart, LCSW-XNPI 1922754472
Title
Psychotherapist
Phone
(240) 396-7069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

14727 4TH St Unit 147
Laurel, MD 20707-3988

Mailing address

14727 4TH St Unit 147
Laurel, MD 20707-3988
Phone (240) 396-7069

Other names 1

  • Two Roads Therapy & Consultation, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1326777368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14727 4TH ST UNIT 147",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073988",
            "telephone_number": "240-396-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14727 4TH ST UNIT 147",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073988",
            "telephone_number": "240-396-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO ROADS THERAPY & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "240-396-7069",
        "authorized_official_credential": "LCSW-X"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "14727 4th St Unit 147",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207073988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Two Roads Therapy & Consultation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.