NPI 1194295881 · live from the CMS NPI Registry
A Clean Start LLC
General Practice in Pikesville, MD. National Provider Identifier 1194295881, active.
NPI record
| NPI | 1194295881 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 3 Greenwood Pl Ste 108, Pikesville, MD 21208 |
| Practice phone | 410-205-7698 |
| Enumerated | November 26, 2018 |
| Last updated | January 10, 2023 |
| Authorized official | Anikka Stokes, Ceo |
| Other names | A Clean Start Urgent Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist | 103T00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Licensed Practical Nurse | 164W00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Clinic/Center, Urgent Care | 261QU0200X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| General Practice primary | 208D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.