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AWAY OF CHANGE COUNSELING SERVICE LLC NPI 1528671252


NPI Information

NPI: 1528671252
Provider Name: AWAY OF CHANGE COUNSELING SERVICE, LLC

Doing Business As: AWAY OF CHANGE COUNSELING SERVICE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
6609 REISTERSTOWN RD STE 206
BALTIMORE, MD
ZIP 21215
Phone: (443) 405-3193
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AWAY OF CHANGE COUNSELING SERVICE, LLC is a rehabilitation and substance use disorder clinic center in Baltimore, MD. AWAY OF CHANGE COUNSELING SERVICE, LLC NPI is 1528671252. The provider is registered as an organization entity type.
The provider Is Doing Business As Away Of Change Counseling Service.

The provider's business location address is:

6609 REISTERSTOWN RD STE 206
BALTIMORE, MD
ZIP 21215-315
Phone: (443) 405-3193
Fax: (443) 272-7572

The provider's authorized official is Doris Allen .
The authorized official title is Ceo & Founder and has the following contact phone number (443) 405-3193.

The enumeration date for this NPI number is 8/24/2020 and was last updated on 3/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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