COVE RECOVERY LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES LLC) NPI 1417338153

NPI Information

NPI: 1417338153
Provider Name: COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC)
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 21D2079906

Address:
828 AIRPAX ROAD
BUILDING B, UNIT 300
CAMBRIDGE, MD
ZIP 21613
Phone: (410) 548-3333
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COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC) is a mental health counselor in Cambridge, MD. COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC) NPI is 1417338153. The provider is registered as an organization entity type.

The provider's business location address is:

828 AIRPAX ROAD
BUILDING B, UNIT 300
CAMBRIDGE, MD
ZIP 21613-401
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 21D2079906 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 9/12/2022.

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	251S00000X	Community/Behavioral Health				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	22610300	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: 5/5/2024

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