Healthcare Provider Details

I. General information

NPI: 1366377319
Provider Name (Legal Business Name): KINDRED TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 BLACK ROCK RD STE 102
HAMPSTEAD MD
21074-2634
US

IV. Provider business mailing address

3000 MANCHESTER RD
MANCHESTER MD
21102-1850
US

V. Phone/Fax

Practice location:
  • Phone: 410-861-0066
  • Fax: 410-348-7865
Mailing address:
  • Phone: 410-861-0066
  • Fax: 410-348-7865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN ELIZABETH BOWER
Title or Position: OWNER
Credential: LCPC
Phone: 443-683-0069