Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Authentic Release Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1720869548

Authentic Release Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Burnie, Maryland. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1406B Crain Hwy S Ste 306
Glen Burnie, MD 21061-4094
Phone: (301) 804-0344
Fax: (301) 349-1370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1720869548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Martin — Owner · (301) 804-0344
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing address1406b Crain Hwy S Ste 306, Glen Burnie, MD 21061-4094

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