Provider Demographics
NPI:1174110928
Name:HOOD, RENE' (LPC, LCPC)
Entity type:Individual
Prefix:
First Name:RENE'
Middle Name:
Last Name:HOOD
Suffix:
Gender:F
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4732 RIDGELINE TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3703
Mailing Address - Country:US
Mailing Address - Phone:301-992-0589
Mailing Address - Fax:
Practice Address - Street 1:17 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1713
Practice Address - Country:US
Practice Address - Phone:202-967-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200001693101YM0800X
MDLC12888101YM0800X, 101YM0800X
MDLGP11090101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional