OUTREACH RECOVERY II, LLC (NPI# 1679198667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679198667 |
| Entity Type | Organization |
| Organization Name | OUTREACH RECOVERY II, LLC |
| Practice Address |
72 Greene St Ste 104 Cumberland MD 21502-2933 |
| Mailing Address |
4201 Northview Dr Ste 104 Bowie MD 20716-2655 |
| Practice Telephone | 4108004466 |
| Mailing Telephone | 4108004466 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | ISIAH COLES (COO) |
| Authorized Official Telephone | 5615023978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090294 | Outreach Recovery II, LLC | Internal Medicine | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| 1801452362 | Outreach Recovery II, LLC | Family Medicine | 3649 Leonardtown Rd, Waldorf, MD 20601-3626 | 2019-05-10 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1023626553 | Outreach Recovery II, LLC | Counselor | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| 1518584143 | Outreach Recovery II, LLC | Counselor | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2020-06-30 |
| 1821614157 | Outreach Recovery II, LLC | Family Medicine | 72 Greene St, Cumberland, MD 21502-2933 | 2020-06-23 |
| 1386260990 | Outreach Recovery II, LLC | Internal Medicine | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2020-06-19 |
| 1639795248 | Outreach Recovery II, LLC | Counselor | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2020-06-19 |
| 1568087559 | Outreach Recovery II, LLC | Counselor | 4201 Northview Dr Ste 104, Bowie, MD 20716-2655 | 2020-06-15 |
| 1003431099 | Outreach Recovery II, LLC | Counselor | 3649 Leonardtown Rd, Waldorf, MD 20601-3626 | 2020-06-15 |
| Street Address |
72 GREENE ST STE 104 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694494 | Timothy Lavendier | Counselor | 3371 Diamond Hill Rd, Cumberland, RI 02864-2922 | 2020-03-23 |
| 1699251272 | Haleigh Faye Brenneman | Counselor | 15820 Mcmullen Hwy Sw, Cumberland, MD 21502-6282 | 2018-07-17 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| 1568914760 | Cpt, LLC | Counselor | 249 Henderson Avenue, Cumberland, MD 21502 | 2016-11-04 |
| 1083924518 | Donna L Rice | Counselor | 118 Valley St, Cumberland, MD 21502-2141 | 2010-10-18 |
| 1225182215 | Wmrs Inc | Counselor | 11604 Bedford Road, Cumberland, MD 21502 | 2007-01-23 |
| 1770687865 | Kim A Henson | Counselor | 152 Bedford Street, Cumberland, MD 21502-2304 | 2006-09-11 |
| 1609475201 | Tara Lynne Garner-delzell | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2020-10-23 |
| 1629689245 | Mikali Rain Artice | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2020-08-17 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on OUTREACH RECOVERY II, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.