Healthcare Provider Details

I. General information

NPI: 1720796725
Provider Name (Legal Business Name): NO EXCUSES CULTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 EASTERN SHORE DR
SALISBURY MD
21804-6463
US

IV. Provider business mailing address

PO BOX 539
CENTREVILLE MD
21617-0539
US

V. Phone/Fax

Practice location:
  • Phone: 443-978-8983
  • Fax:
Mailing address:
  • Phone: 410-449-0086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: NARYAH L MILES
Title or Position: CEO
Credential:
Phone: 410-449-0086