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MISHA HOUSE, LLC
NPI 1164883344
Clinic/Center - Rehabilitation, Substance Use Disorder in Baltimore, MD

Active since March 15, 2016CLIA 21D2124079 · Waiver
2300 GARRISON BLVD, SUITE 120, BALTIMORE, MD 21216(443) 708-3054(443) 708-4402 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Mar 15, 2016 (2 updates tracked since 2016).

About Misha House, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISHA HOUSE, LLC (NPI 1164883344) is a healthcare organization registered as a rehabilitation, substance use disorder in Baltimore, Maryland and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Monica White, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164883344
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMISHA HOUSE, LLC
Location Address2300 GARRISON BLVD, SUITE 120Baltimore, MD 21216
Mailing Address2300 Garrison Blvd, Suite 120Baltimore, MD 21216 · (443) 708-3054 · Fax (443) 708-4402
Phone(443) 708-3054
Fax(443) 708-4402
Organization SubpartNo
Authorized OfficialMonica WhiteExecutive Director · (443) 708-3054
Enumeration DateMarch 15, 2016
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
✔ NPI 1164883344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MD · 261QR0405X
2300 GARRISON BLVD, Baltimore, MD 21216
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2124079

Misha House, LLC · Baltimore, MD
Active · expires Jan 9, 2027
CLIA Number21D2124079
Laboratory TypeMental Health Recovery
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorJanay Taylor
Laboratory Phone(443) 708-3054
Laboratory LocationMisha House, LLC2300 Garrison Blvd Suite 120, Baltimore, MD 21216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA ANNE WILLIAMS MSW, LCSW
Social Worker
2300 GARRISON BLVD, SIOTE 200
BALTIMORE, MD 21216
Baltimore City (410) 233-3111
MRS. SHINITA R GOLDEN RDH, BS, QDA
Dental Hygienist
2300 GARRISON BLVD
BALTIMORE, MD 21216
Baltimore City (410) 947-0606
JESCINA ARTIS
Counselor (Addiction (Substance Use Disorder))
2300 GARRISON BLVD
BALTIMORE, MD 21216
Baltimore City (410) 233-3111
GRACE EUNHAE PARK MSW, LGSW
Social Worker
2300 GARRISON BLVD, SUITE 104
BALTIMORE, MD 21216
Baltimore City (410) 233-6200
DR. LARRY H GASTON M.D.
Dermatology
2300 GARRISON BLVD, SUITE 260
BALTIMORE, MD 21216
Baltimore City (410) 945-7544
DAWN MARIA MILLNER
Social Worker
2300 GARRISON BLVD
BALTIMORE, MD 21216
Baltimore City (443) 857-8100
KEVA S JACKSON FNP-BC, PMHNP
Nurse Practitioner (Family)
2300 GARRISON BLVD
BALTIMORE, MD 21216
Baltimore City (443) 723-4752
PRISCILLA OJONG BISONG RPH
Pharmacist
2300 GARRISON BLVD
BALTIMORE, MD 21216
Baltimore City (716) 830-9596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misha House, LLC's NPI number?

The NPI number for Misha House, LLC is 1164883344. It was assigned to this organization in the NPPES registry on March 15, 2016.

Where is Misha House, LLC located?

Misha House, LLC is located at 2300 Garrison Blvd Suite 120, Baltimore, MD 21216. The listed phone number is (443) 708-3054.

What is Misha House, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Misha House, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2124079) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Misha House, LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.