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GRACEFUL PHOENIX RECOVERY HOUSING LLC
NPI 1518798651
Substance Abuse Rehabilitation Facility in Essex, MD

Active since August 10, 2024
802 WALNUT GROVE RD, ESSEX, MD 21221(443) 449-1862 Get Directions Write a Review

NPPES record last updated: August 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Graceful Phoenix Recovery Housing Llc NPPES

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

GRACEFUL PHOENIX RECOVERY HOUSING LLC (NPI 1518798651) is a healthcare organization registered as a substance abuse rehabilitation facility in Essex, Maryland and active in the NPI registry since August 2024. The organization lists Teyana Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1518798651
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGRACEFUL PHOENIX RECOVERY HOUSING LLC
Location Address802 WALNUT GROVE RDEssex, MD 21221-6087
Mailing Address802 Walnut Grove RdEssex, MD 21221-6087 · (443) 449-1862
Phone(443) 449-1862
Organization SubpartNo
Authorized OfficialTeyana JohnsonOwner · (443) 449-1862
Enumeration DateAugust 10, 2024
NPPES CertifiedAugust 10, 2024
✔ NPI 1518798651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
802 WALNUT GROVE RD, Essex, MD 21221
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Other Providers at the Same Location NPPES

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

TEYANA A JOHNSON
Counselor (Addiction (Substance Use Disorder))
802 WALNUT GROVE RD
ESSEX, MD 21221
Baltimore County (443) 449-1862

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 Graceful Phoenix Recovery Housing LLC's NPI number?

The NPI number for Graceful Phoenix Recovery Housing LLC is 1518798651. It was assigned to this organization in the NPPES registry on August 10, 2024.

Where is Graceful Phoenix Recovery Housing LLC located?

Graceful Phoenix Recovery Housing LLC is located at 802 Walnut Grove Rd, Essex, MD 21221. The listed phone number is (443) 449-1862.

What is Graceful Phoenix Recovery Housing LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Graceful Phoenix Recovery Housing LLC was last updated on August 10, 2024. 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.