Organization · Type 2 NPI

Port Recovery Iop Inc.

Mental Health Counselor · Nottingham, MD

NPI number 1578026464 Active

Practice location

8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028

Call (443) 869-4909 Map

Fax (443) 869-4928

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578026464

Port Recovery Iop Inc.'s National Provider Identifier is 1578026464, issued on Apr 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nottingham, MD. The record was last updated on Apr 9, 2019.