MEDICARE: MARGARET BLEVINS ADT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	ADT3604	MD

General Provider Information

NPI Number	:	1063354686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET BLEVINS ADT

Provider Business Mailing Address
First Line	:	4602 WATERFALL CT APT H
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-7606
Country	:	US
Telephone Number	:	443-957-5799
Fax Number	:	410-636-5600

Provider Business Practice Location Address
First Line	:	5710 RITCHIE HWY
Second Line	:
City	:	BROOKLYN PARK
State	:	MD
Zip	:	21225-3641
Country	:	US
Telephone Number	:	410-636-5600
Fax Number	:	410-636-5600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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