Healthcare Provider Details

I. General information

NPI: 1205115508
Provider Name (Legal Business Name): COVE RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 RIVERSIDE DRIVE SUITES 5 - 9
SALISBURY MD
21801-5352
US

IV. Provider business mailing address

540 RIVERSIDE DR STE 7
SALISBURY MD
21801-5352
US

V. Phone/Fax

Practice location:
  • Phone: 410-548-3333
  • Fax: 410-548-3341
Mailing address:
  • Phone: 410-548-3333
  • Fax: 410-548-3341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number904229
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number904229
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: HEATHER COLLINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 410-548-3333