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SOUTH RIVER COUNSELING, LLC
NPI 1295276905
Counselor - Addiction (Substance Use Disorder) in Davidsonville, MD

Active since March 14, 2017
3428 CONSTELLATION DR, DAVIDSONVILLE, MD 21035(443) 994-1048 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South River Counseling, Llc NPPES

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

SOUTH RIVER COUNSELING, LLC (NPI 1295276905) is a healthcare organization registered as an addiction (substance use disorder) in Davidsonville, Maryland and active in the NPI registry since March 2017. The organization lists Lauri Heinlein Mccormack, Owner, as its authorized official.

NPPES Registry Identity

NPI1295276905
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSOUTH RIVER COUNSELING, LLC
Location Address3428 CONSTELLATION DRDavidsonville, MD 21035-1341
Mailing Address3428 Constellation DrDavidsonville, MD 21035-1341 · (443) 994-1048
Phone(443) 994-1048
Organization SubpartNo
Authorized OfficialLauri Heinlein MccormackOwner · (443) 994-1048
Enumeration DateMarch 14, 2017
✔ NPI 1295276905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · LC4751
Also ListedCounselorTaxonomy 101Y00000X · License LC4751 (MD)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LC4751 (MD)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC4751 (MD)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LC4751 (MD)
3428 CONSTELLATION DR, Davidsonville, MD 21035
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 South River Counseling, LLC's NPI number?

The NPI number for South River Counseling, LLC is 1295276905. It was assigned to this organization in the NPPES registry on March 14, 2017.

Where is South River Counseling, LLC located?

South River Counseling, LLC is located at 3428 Constellation Dr, Davidsonville, MD 21035. The listed phone number is (443) 994-1048.

What is South River Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for South River Counseling, LLC was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.