National Provider Identifier

Victory Health Care Services LLC

Victory Health Care Services LLC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Baltimore, MD and a listed phone number of (443) 204-5144.

NPI 1205485588Baltimore, MDAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated December 10, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1205485588
Provider Type
Organization
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
September 09, 2019
Last Updated
December 10, 2024

Practice Location

  • 1900 E Northern Pkwy Ste 205207
  • Baltimore, MD 21239-2113

Phone: (443) 204-5144

Mailing Address

  • 1900 E .Northern Park Way Suite205-207
  • Baltimore, MD 21239-4225

Authorized Official

Name
Mr. Bode Akadri
Title
Director
Credentials
MPP
Phone
(443) 529-9099

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Multi-Specialty Clinic/Center (261QM1300X)

Endpoints

  • BAKADRI@VHCSLLC.COM

    Connect Url | Direct | Other | Baltimore, MD 21212

    Mental Health

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Full Record
NPI
1205485588
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Victory Health Care Services LLC
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
1900 E .Northern Park Way Suite205-207
Mailing City
Baltimore
Mailing State
MD
Mailing ZIP Code
21239-4225
Mailing Country
US
Mailing Phone
(443) 529-9099
Mailing Fax
(410) 617-8478
Practice Street Address
1900 E Northern Pkwy Ste 205207
Practice City
Baltimore
Practice State
MD
Practice ZIP Code
21239-2113
Practice Country
US
Practice Phone
(443) 204-5144
Practice Fax
(410) 617-8478
Enumeration Date
September 09, 2019
Last Updated
December 10, 2024
Authorized Official Last Name
Akadri
Authorized Official First Name
Bode
Authorized Official Title
Director
Authorized Official Phone
(443) 529-9099
Organization Subpart
Yes
Parent Organization Name
VICTORY HEALTH CARE SERVICES LLC
Parent Organization TIN
<UNAVAIL>
Authorized Official Name Prefix Text
Mr.
Authorized Official Credential Text
MPP
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
December 03, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Multi-Specialty Clinic/Center (261QM1300X)