Diara Beverly
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lothian, MD
NPI 1699349233 · NPPES record last updated May 18, 2021
Key facts
- NPI
- 1699349233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1048 Pam Ann LN
Lothian, MD 20711-2600 - Phone
- (443) 440-5780
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Chesapeake, LLC | Current |
Accepting new patients | |
| Project Chesapeake, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1048 Pam Ann LN
Lothian, MD 20711-2600
Mailing address
2937 Scarborough Cir
Windsor Mill, MD 21244-8064
Other providers in Lothian, MD
- A & P Care Management, LLC
- Am-Van Incorporated
- Am-Van, LLC
- Ashley Taylor Bates I
- Jennifer N Campbell
- Kristina T. Campbell
- Jaiden Canteen
- Chesapeake Behavioral Health Systems, LLC
- Carrie Depetris
All providers in Lothian, MD · Addiction (Substance Use Disorder) Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.