OUTREACH RECOVERY II LLC NPI 1023626553

NPI Information

NPI: 1023626553
Provider Name: OUTREACH RECOVERY II, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
240 FREDERICK ST
HAGERSTOWN, MD
ZIP 21740
Phone: (410) 800-4466
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OUTREACH RECOVERY II, LLC is a mental health counselor in Hagerstown, MD. OUTREACH RECOVERY II, LLC NPI is 1023626553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 FREDERICK ST
HAGERSTOWN, MD
ZIP 21740-100
Phone: (410) 800-4466

The provider's authorized official is Isiah Coles .
The authorized official title is Coo and has the following contact phone number (561) 502-3978.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 3/8/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8249491676	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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