Provider Demographics
NPI:1033763214
Name:RELATIONAL EXCELLENCE, LLC
Entity Type:Organization
Organization Name:RELATIONAL EXCELLENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JERIESHA
Authorized Official - Middle Name:JANELL
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:MS LCPC CTRS
Authorized Official - Phone:202-531-0231
Mailing Address - Street 1:898 AIRPORT PARK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2521
Mailing Address - Country:US
Mailing Address - Phone:410-768-4386
Mailing Address - Fax:
Practice Address - Street 1:898 AIRPORT PARK RD STE 101
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2521
Practice Address - Country:US
Practice Address - Phone:410-768-4386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RELATIONAL EXCELLENCE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD660402100Medicaid