THOMAS J CONWAY ADT
NPI 1043884554
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD
Active since May 19, 2021
About Thomas J Conway Adt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS J CONWAY ADT (NPI 1043884554) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (1712) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1043884554
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTHOMAS J CONWAYCredential: ADT
Location Address112 E PATAPSCO AVEBaltimore, MD 21225-1745
Mailing Address1115 Leonard DrGlen Burnie, MD 21060-8236 · (443) 875-1718
Phone(667) 260-2640
Sole ProprietorNo
Enumeration DateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1043884554 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · 1712
112 E PATAPSCO AVE, Baltimore, MD 21225
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
112 E PATAPSCO AVE
BALTIMORE, MD 21225
BALTIMORE, MD 21225
Clinic/Center (Mental Health (Including Community Mental Health Center))
112 E PATAPSCO AVE
BALTIMORE, MD 21225
BALTIMORE, MD 21225
Counselor (Addiction (Substance Use Disorder))
112 E PATAPSCO AVE
BROOKLYN, MD 21225
BROOKLYN, MD 21225
Clinic/Center (Rehabilitation, Substance Use Disorder)
112 E PATAPSCO AVE
BALTIMORE, MD 21225
BALTIMORE, MD 21225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043884554, enumerated as an "individual" on May 19, 2021.
The provider is located at 112 E PATAPSCO AVE BALTIMORE, MD 21225 and the phone number is (667) 260-2640.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).