National Provider Identifier
Outreach Recovery II, LLC
Outreach Recovery II, LLC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rockville, MD and a listed phone number of (410) 800-4466.
Source: public NPPES record, last updated June 19, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1639795248
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- June 19, 2020
- Last Updated
- June 19, 2020
Practice Location
- 30 W Gude Dr Ste 375
- Rockville, MD 20850-4300
Phone: (410) 800-4466
Mailing Address
- 4201 Northview Dr Ste 104
- Bowie, MD 20716-2655
Authorized Official
- Name
- Isiah Coles
- Title
- Coo
- Phone
- (561) 502-3978
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Mental Health Counselor (101YM0800X)
Endpoints
- www.therapynotes.com
Connect Url | Direct | Csv | Rockville, MD 20850
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Full Record
- NPI
- 1639795248
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Outreach Recovery II, LLC
- Mailing Street Address
- 4201 Northview Dr Ste 104
- Mailing City
- Bowie
- Mailing State
- MD
- Mailing ZIP Code
- 20716-2655
- Mailing Country
- US
- Mailing Phone
- (410) 800-4466
- Practice Street Address
- 30 W Gude Dr Ste 375
- Practice City
- Rockville
- Practice State
- MD
- Practice ZIP Code
- 20850-4300
- Practice Country
- US
- Practice Phone
- (410) 800-4466
- Enumeration Date
- June 19, 2020
- Last Updated
- June 19, 2020
- Authorized Official Last Name
- Coles
- Authorized Official First Name
- Isiah
- Authorized Official Title
- Coo
- Authorized Official Phone
- (561) 502-3978
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- June 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X)
- Other Identifiers
- 8249491676 (MD)