SACRED REBIRTH
NPI 1730066028
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since August 19, 2025
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207(443) 653-6819 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Sacred Rebirth NPPES

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

SACRED REBIRTH (NPI 1730066028) is a healthcare organization registered as an addiction (substance use disorder) in Baltimore, Maryland and active in the NPI registry since August 2025. The organization lists Alise Burrow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730066028
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSACRED REBIRTH
Location Address6340 SECURITY BLVD STE 100Baltimore, MD 21207-5284
Mailing Address6340 Security Blvd Ste 100Baltimore, MD 21207-5284 · (443) 653-6819
Organization SubpartNo
Authorized OfficialAlise BurrowCeo · (443) 653-6819
Enumeration DateAugust 19, 2025
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1730066028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedContractorTaxonomy 171W00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
6340 SECURITY BLVD STE 100, Baltimore, MD 21207

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.

Technician, Pathology (Phlebotomy)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Behavior Analyst
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Psychologist (Rehabilitation)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Clinic/Center (Health Service)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Social Worker (Clinical)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Counselor (Mental Health)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Nurse Practitioner (Family)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Behavior Technician
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207

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 Sacred Rebirth's NPI number?

The NPI number for Sacred Rebirth is 1730066028. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Sacred Rebirth located?

Sacred Rebirth is located at 6340 Security Blvd Ste 100, Baltimore, MD 21207. The listed phone number is (443) 653-6819.

What is Sacred Rebirth'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 Sacred Rebirth was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.