| Doctor Name: | MS. RITA BLYLER |
| NPI Number: | 1396169736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, LCADC, NCC |
| License Number: | LCA421 |
| Business Practice Address: | 30537 Potomac Way Ste 102 Charlotte Hall, MD - 206223180 |
| Business Phone Number: | 2404662034 |
| Business Fax Number: | 3018444225 |
| Mailing Address: | 29838 Hillview Dr, MECHANICSVILLE |
| State: | MD |
| Postal Code: | 206596128 |
| Phone Number: | 2404662034 |
| Fax Number: | 3018844225 |
| NPI Enumeration Date: | 02/05/2014 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCA421 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |