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OUTREACH RECOVERY II LLC NPI 1518584143


NPI Information

NPI: 1518584143
Provider Name: OUTREACH RECOVERY II, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
196 THOMAS JOHNSON DR STE 201
FREDERICK, MD
ZIP 21702
Phone: (410) 800-4466
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OUTREACH RECOVERY II, LLC is an addiction (substance use disorder) counselor in Frederick, MD. OUTREACH RECOVERY II, LLC NPI is 1518584143. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

196 THOMAS JOHNSON DR STE 201
FREDERICK, MD
ZIP 21702-397
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 6/30/2020 and was last updated on 12/1/2023.


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
1101YM0800XCounselorMental HealthNo
2104100000XSocial WorkerNo
3101YA0400XCounselorAddiction (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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.