PUDDS PLACE
NPI 1619694239
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Q: What is Pudds Place's NPI number?

The NPI number for Pudds Place is 1619694239. It was assigned to this organization in the NPPES registry on October 25, 2022.

Q: What is Pudds Place's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pudds Place was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 25, 2022

2413 REISTERSTOWN RD APT 1, BALTIMORE, MD 21217(443) 633-3177 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pudds Place NPPES

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

PUDDS PLACE (NPI 1619694239) is a healthcare organization registered as an addiction (substance use disorder) in Baltimore, Maryland and active in the NPI registry since October 2022. The organization lists Sykia Edwards, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1619694239

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NamePUDDS PLACE

Location Address2413 REISTERSTOWN RD APT 1Baltimore, MD 21217-2056

Mailing Address3018 Autumn Branch Ln Apt EEllicott City, MD 21043-3514 · (443) 633-3177

Phone(443) 633-3177

Organization SubpartNo

Authorized OfficialSykia EdwardsClinical Director · (443) 633-3177

Enumeration DateOctober 25, 2022

NPPES CertifiedOctober 25, 2022

✔ NPI 1619694239 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

2413 REISTERSTOWN RD APT 1, Baltimore, MD 21217

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Other Identifiers 1

Medicaid1093103756MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Pudds Place's NPI number?

The NPI number for Pudds Place is 1619694239. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Pudds Place located?

Pudds Place is located at 2413 Reisterstown Rd Apt 1, Baltimore, MD 21217. The listed phone number is (443) 633-3177.

What is Pudds Place'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 Pudds Place was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.