PEACE & GLORY MANOR INC NPI 1386977015

NPI Information

NPI: 1386977015
Provider Name: PEACE & GLORY MANOR, INC
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Organization
Former Legal Business Name: PEACE & GLORY MANOR MEDICAL ADULT & SENIOR PLUS DAYCARE CENTER
Address: 3829 KILBURN RD
RANDALLSTOWN, MD
ZIP 21133
Phone: (443) 386-9959

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NPI Details

PEACE & GLORY MANOR, INC is an addiction (substance use disorder) counselor in Randallstown, MD. PEACE & GLORY MANOR, INC NPI is 1386977015. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Peace & Glory Manor Medical Adult & Senior Plus Daycare Center.

The provider's business location address is:

3829 KILBURN RD
RANDALLSTOWN, MD
ZIP 21133-655
Phone: (443) 386-9959
Fax: (410) 922-4620

The provider's authorized official is Gloria Lynn Brown -bristol .
The authorized official title is Owner and has the following contact phone number (443) 386-9959.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP2500X	Counselor	Professional	No
3	102X00000X	Poetry Therapist		No
4	103T00000X	Psychologist		No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
6	103TA0700X	Psychologist	Adult Development & Aging	No
7	103TB0200X	Psychologist	Cognitive & Behavioral	No
8	103TC1900X	Psychologist	Counseling	No
9	103TE1100X	Psychologist	Exercise & Sports	No
10	103TH0100X	Psychologist	Health Service	No
11	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	No
12	103TP2701X	Psychologist	Group Psychotherapy	No
13	103TR0400X	Psychologist	Rehabilitation	No
14	104100000X	Social Worker		No
15	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

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

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