National Provider Identifier
Pudds Place
Pudds Place 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) 633-3177.
Source: public NPPES record, last updated October 25, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1619694239
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 25, 2022
- Last Updated
- October 25, 2022
Practice Location
- 2413 Reisterstown RD Apt 1
- Baltimore, MD 21217-2056
Phone: (443) 633-3177
Mailing Address
- 3018 Autumn Branch Ln Apt E
- Ellicott City, MD 21043-3514
Authorized Official
- Name
- Sykia Edwards
- Title
- Clinical Director
- Credentials
- CAC-AD-BAS, LMSW
- Phone
- (443) 633-3177
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Full Record
- NPI
- 1619694239
- Entity Type
- Organization
- Organization Name
- Pudds Place
- Mailing Street Address
- 3018 Autumn Branch Ln Apt E
- Mailing City
- Ellicott City
- Mailing State
- MD
- Mailing ZIP Code
- 21043-3514
- Mailing Country
- US
- Mailing Phone
- (443) 633-3177
- Practice Street Address
- 2413 Reisterstown RD Apt 1
- Practice City
- Baltimore
- Practice State
- MD
- Practice ZIP Code
- 21217-2056
- Practice Country
- US
- Practice Phone
- (443) 633-3177
- Enumeration Date
- October 25, 2022
- Last Updated
- October 25, 2022
- Authorized Official Last Name
- Edwards
- Authorized Official First Name
- Sykia
- Authorized Official Title
- Clinical Director
- Authorized Official Phone
- (443) 633-3177
- Organization Subpart
- No
- Authorized Official Credential Text
- CAC-AD-BAS, LMSW
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- October 25, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 1093103756 (MD)