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

Ridgely Retreat LLC

Organization Specialist · NPI 1912174756

Ridgely Retreat LLC provides Specialist services in Annapolis, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in
MD
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 Ridgely Ave
Annapolis, MD 21401-1303 Not confirmed with CMS for 18 years — call before visiting
Phone: (443) 433-0462
Fax: (443) 433-0491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 476282 (MD)

Record details

NPI number1912174756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Lichtenstein — Owner · (443) 433-0462
NPI enumeratedMay 12, 2008
Last updated in NPPESMay 12, 2008
Mailing address203 Ridgely Ave, Annapolis, MD 21401-1303

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