EMOTIONAL ABUSE SUPPORT TEAM NPI 1336731116

NPI Information

  • NPI: 1336731116
  • Provider Name: EMOTIONAL ABUSE SUPPORT TEAM
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1808 61ST AVE
    CHEVERLY, MD
    ZIP 20785
  • Phone: (240) 319-0182

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NPI Details

EMOTIONAL ABUSE SUPPORT TEAM is a professional counselor in Cheverly, MD. EMOTIONAL ABUSE SUPPORT TEAM NPI is 1336731116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1808 61ST AVE
CHEVERLY, MD
ZIP 20785-803
Phone: (240) 319-0182

The provider's authorized official is Demarest Crawl .
The authorized official title is Executive and has the following contact phone number (240) 319-0182.

The enumeration date for this NPI number is 2/3/2021 and was last updated on 2/3/2021.

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
11041C0700XSocial WorkerClinicalNo
2101YP2500XCounselorProfessionalYes

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
11205355344OTHERMARYLANDNPI
2822045000MEDICAIDMARYLAND
31023663325OTHERMARYLANDNPI

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: 11/21/2025

NPI Synchronization or Removal

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