Provider Type Icon

EXODUS BEHAVIORAL HEALTH LLC NPI 1174152946


NPI Information

NPI: 1174152946
Provider Name: EXODUS BEHAVIORAL HEALTH LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
700 WASHINGTON BLVD
BALTIMORE, MD
ZIP 21230
Phone: (410) 343-4343
Get Directions

EXODUS BEHAVIORAL HEALTH LLC is an addiction (substance use disorder) counselor in Baltimore, MD. EXODUS BEHAVIORAL HEALTH LLC NPI is 1174152946. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

700 WASHINGTON BLVD
BALTIMORE, MD
ZIP 21230-350
Phone: (410) 343-4343

The provider's authorized official is James Apelstein .
The authorized official title is Owner and has the following contact phone number (410) 343-4343.

The enumeration date for this NPI number is 4/3/2020 and was last updated on 9/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3251S00000XCommunity/Behavioral HealthNo
4323P00000XPsychiatric Residential Treatment FacilityNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
7101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1799251300MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.