Community/Behavioral Health

Address: 4729 Hazelwood Ave, Baltimore, MD 21206-2832

SELF DETERMINED RECOVERY LLC (NPI# 1376126664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376126664
Entity Type Organization
Practice Address 4729 Hazelwood Ave
MD 21206-2832
Practice Telephone 4108028477
Mailing Address 4729 Hazelwood Ave
MD 21206-2832
Mailing Telephone 4108028477
Certification Date 2021-05-04
Enumeration Date 2021-05-04
Last Update Date 2021-05-04
Authorized Official Telephone 4108088477
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 4729 HAZELWOOD AVE
State MD
Zip Code 21206-2832

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1902173974 Jennifer Lea Reed Social Worker - Clinical 5901 Benton Heights Avenue, Baltimore, MD 21206 2011-11-19
1992924690 Joseph Kligman Internal Medicine 4116 E Northern Pkwy, Baltimore, MD 21206-1000 2007-04-24
1194370601 Tates Health Care, LLC Nursing Care 7303 Beech Ave, Baltimore, MD 21206 2019-08-02
1841403607 Jennifer Christine Sanzari Dentist 6305 Belair Road, Baltimore, MD 21206 2007-05-08
1750612909 Ngozi Osuagwu Nurse Practitioner 5805 Moravia Rd, Baltimore, MD 21206 2010-01-27
1407974496 Albert Andrew Tysor Dentist - General Practice 6600 Belair Road, Baltimore, MD 21206 2007-03-27
1962912444 Meagan Carreira Occupational Therapy Assistant 5009 Frankfurt Avenue, Baltimore, MD 21206 2017-10-10
1205458536 Raphael Ernest Gikonyo Nurse Practitioner - Psych/Mental Health 100 Walnut Ave, Baltimore, MD 21206-1032 2020-05-08
1891138277 Kenyona N Davis Social Worker - Clinical 5622 Remmell Ave Unit F, Baltimore, MD 21206 2013-04-16
1710351051 Peninah Muthoni Kamau Occupational Therapist 5009 Frankford Ave, Brinton Woods Acute Care Center, Baltimore, MD 21206 2015-11-24
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578130514 Compassionate Care Services, LLC Community/Behavioral Health 2901 Druid Park Dr Ste 303, Baltimore, MD 21215-8102 2021-06-08
1366018863 Linnea Lavonne, LLC Community/Behavioral Health 2640 Hampden Ave, Baltimore, MD 21211-3106 2021-06-03
1073189270 Each1teach1 Community Health,Llc Community/Behavioral Health 3111 Clifton Ave, Baltimore, MD 21216-2734 2021-05-28
1053987271 Right Step LLC Community/Behavioral Health 1900 E Northern Pkwy Ste 110, Baltimore, MD 21239-2113 2021-05-28
1891369013 National Pike Health Center, Inc. Community/Behavioral Health 1201 W Pratt St, Baltimore, MD 21223-2674 2021-05-13
1982288585 Beyond Health LLC Community/Behavioral Health 326 St.paul Place, Baltimore, MD 21202 2021-05-10
1528641727 Tanika Walker Community/Behavioral Health 6600 Belair Rd # 1a1b, Baltimore, MD 21206-1855 2021-05-04
1366025678 Insightful Life Therapeutic Services LLC Community/Behavioral Health 5438 York Rd Ste 202, Baltimore, MD 21212-3833 2021-05-04
1407439334 Leading By Example LLC Community/Behavioral Health 3001 E Biddle St, Baltimore, MD 21213-3940 2021-04-29
1972185809 Family Therapy Behavioral Services, LLC Community/Behavioral Health 110 E Lexington St Ste 200a, Baltimore, MD 21202-1745 2021-04-21
Find all providers in BALTIMORE


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Zip Code 21206

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Dataset Information

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.