OUTREACH RECOVERY II, LLC (NPI# 1023626553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023626553 |
| Entity Type | Organization |
| Organization Name | OUTREACH RECOVERY II, LLC |
| Practice Address |
339 E Antietam St Ste 4 Hagerstown MD 21740-5767 |
| Mailing Address |
4201 Northview Dr Ste 104 Bowie MD 20716-2655 |
| Practice Telephone | 4108004466 |
| Mailing Telephone | 4108004466 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| 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 | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 8249491676 | 05 |
| 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 |
| 1679198667 | Outreach Recovery II, LLC | Counselor | 72 Greene St Ste 104, Cumberland, MD 21502-2933 | 2020-06-15 |
| 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 |
| 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 |
339 E ANTIETAM ST STE 4 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5767 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533611 | Cynthia Pitcher | Counselor | 11208 Hollywood Rd, Hagerstown, MD 21740-7507 | 2020-06-19 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1275921066 | Phoenix Behavioral Center,llc | Counselor | 1003 The Ter, Hagerstown, MD 21742-3227 | 2014-12-31 |
| 1063800050 | Washington Health County Department-jsap | Counselor | 500 Western Maryland Pkwy, Hagerstown, MD 21740-5125 | 2014-12-30 |
| 1427456631 | Washington County Health Department-cameo | Counselor | 750 Hospital Way, Hagerstown, MD 21742-3108 | 2014-12-22 |
| 1679726160 | Eileen Hinckley Stanzione | Counselor | 329 N Potomac St, Hagerstown, MD 21740-3819 | 2008-10-28 |
| 1255508404 | Qualitycare Internet, LLP | Counselor | 201 North Burhans Blvd., Hagerstown, MD 21740-4677 | 2008-05-15 |
| 1215104989 | Dorrie A. Costa | Counselor | 13114 Pennyslvania Avenue, Hagerstown, MD 21742 | 2008-05-13 |
| 1639346489 | Catherine Ferguson | Counselor | 13114 Pa Ave, Hagerstown, MD 21742-2741 | 2008-05-12 |
| 1275700106 | Sylvia M Harris | Counselor | 18702 Mary Flowers Way, Hagerstown, MD 21740-1494 | 2008-05-09 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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.