MEDICARE: NO EXCUSES CULTURE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1164143632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NO EXCUSES CULTURE LLC

Provider Business Mailing Address
First Line	:	PO BOX 539
Second Line	:
City	:	CENTREVILLE
State	:	MD
Zip	:	21617-0539
Country	:	US
Telephone Number	:	410-449-0086
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 EASTERN SHORE DR STE B
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-6463
Country	:	US
Telephone Number	:	443-978-8983
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NARYAH MILES
Credential	:
Telephone Number	:	410-449-0086

Provider Enumeration Date	:	09/05/2022
Last Update Date	:	06/27/2023

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