Organization Active NPI

Epoch Sober Living

  • Addiction (Substance Use Disorder) Counselor
  • Abingdon, MD
National Provider Identifier
1295514834
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
EPOCH SOBER LIVING
Practice address
2814 Emmorton Rd
Abingdon, MD 21009-1625
Phone
(443) 221-3025
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosalie Loretta Burnite
Title
Officer
Phone
(443) 221-3025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2814 Emmorton Rd
Abingdon, MD 21009-1625

Mailing address

330 Cigar Loop
Havre de Grace, MD 21078-2348
Phone (443) 221-3025

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1295514834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CIGAR LOOP",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782348",
            "telephone_number": "443-221-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 EMMORTON RD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091625",
            "telephone_number": "443-221-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "BURNITE",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_middle_name": "LORETTA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "443-221-3025"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.