MEDICARE: REGENERATIONS COUNSELING SERVICES INC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1285906701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENERATIONS COUNSELING SERVICES INC

Provider Business Mailing Address
First Line	:	6301 IVY LN
Second Line	:	SUITE 421
City	:	GREENBELT
State	:	MD
Zip	:	20770-1402
Country	:	US
Telephone Number	:	301-779-8415
Fax Number	:	301-313-0918

Provider Business Practice Location Address
First Line	:	1421 S CATON AVE
Second Line	:	SUITE 201
City	:	BALTIMORE
State	:	MD
Zip	:	21227-1025
Country	:	US
Telephone Number	:	301-779-8415
Fax Number	:	301-313-0918

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVE WASHINGTON HOWDEN
Credential	:
Telephone Number	:	301-779-8415

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	12/27/2016

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