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COVE RECOVERY LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES LLC ) NPI 1205115508


NPI Information

NPI: 1205115508
Provider Name: COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC )
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 21D2059184

Address:
540 RIVERSIDE DRIVE
SUITES 5 - 9
SALISBURY, MD
ZIP 21801
Phone: (410) 548-3333
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COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC ) is an addiction (substance use disorder) counselor in Salisbury, MD. COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC ) NPI is 1205115508. The provider is registered as an organization entity type.

The provider's business location address is:

540 RIVERSIDE DRIVE
SUITES 5 - 9
SALISBURY, MD
ZIP 21801-352
Phone: (410) 548-3333
Fax: (410) 548-3341

The provider's authorized official is Heather Collins .
The authorized official title is Executive Director and has the following contact phone number (410) 548-3333.

The CLIA number assigned to this NPI record is 21D2059184 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2011 and was last updated on 3/6/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)904229MARYLANDNo
3101YA0400XCounselorAddiction (Substance Use Disorder)904229MARYLANDYes

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
1555301600MEDICAIDMARYLAND

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

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