OUTREACH RECOVERY II, LLC (NPI# 1639795248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639795248 |
| Entity Type | Organization |
| Organization Name | OUTREACH RECOVERY II, LLC |
| Practice Address |
30 W Gude Dr Ste 375 Rockville MD 20850-4300 |
| Mailing Address |
4201 Northview Dr Ste 104 Bowie MD 20716-2655 |
| Practice Telephone | 4108004466 |
| Mailing Telephone | 4108004466 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| 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 |
| 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 |
| 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 |
30 W GUDE DR STE 375 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986572 | Accessible Integrative Medicine, LLC | Anesthesiology | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2018-06-16 |
| 1386260990 | Outreach Recovery II, LLC | Internal Medicine | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2020-06-19 |
| 1447898978 | Jillian Campbell | Chiropractor | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2019-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912323312 | Hardy Gene Bennett | Counselor | 401 Hungerford Dr Rm 458, Rockville, MD 20850-4154 | 2014-03-10 |
| 1710270277 | Lisa Marie Howard | Counselor | 120 Gibbs St, 473, Rockville, MD 20850-0361 | 2011-05-17 |
| 1508874397 | Jacquelyn Ned Mann | Counselor | 6001 Montrose Rd Ste 102, Rockville, MD 20852-4872 | 2006-08-04 |
| 1710945225 | Rise Hannah Page | Counselor | 206 N Adams St, Rockville, MD 20850-1829 | 2006-05-03 |
| 1396372751 | Andrew William Jillson | Counselor | 7300 Calhoun Pl Ste 700, Rockville, MD 20855-3702 | 2020-03-25 |
| 1265906259 | Maria Cecelia Herald | Counselor | 14901 Broschart Rd, Rockville, MD 20850-3318 | 2019-01-14 |
| 1467920918 | D.a. Wynne & Associates,inc. | Counselor | 11900 Parklawn Dr Ste 120, Rockville, MD 20852-2668 | 2018-11-02 |
| 1588166417 | Sharon Lemone | Counselor | 255 Rockville Pike Ste 145, Rockville, MD 20850-5136 | 2018-03-07 |
| 1922500867 | Veronica Henry | Counselor | 255 Rockville Pike Ste 145, Rockville, MD 20850-5136 | 2018-03-07 |
| 1962947234 | Reginald Briggs | Counselor | 981 Rollins Ave, Rockville, MD 20852-5615 | 2016-12-22 |
| Find all providers in ROCKVILLE | ||||
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| 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.