Provider Demographics
NPI:1982084802
Name:RHEMA LIFE GROUP LLC
Entity type:Organization
Organization Name:RHEMA LIFE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:JR
Authorized Official - Credentials:LICSW, LCSW-C
Authorized Official - Phone:301-534-0748
Mailing Address - Street 1:2670 CRAIN HWY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-2806
Mailing Address - Country:US
Mailing Address - Phone:301-534-0748
Mailing Address - Fax:301-705-8892
Practice Address - Street 1:2670 CRAIN HWY
Practice Address - Street 2:SUITE 206
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-2806
Practice Address - Country:US
Practice Address - Phone:301-534-0748
Practice Address - Fax:301-705-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD121881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty