MEDICARE: 2ND JOURNEY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QR0800X	Recovery Care Clinic/Center
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1730861170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2ND JOURNEY LLC

Provider Business Mailing Address
First Line	:	5247 REISTERSTOWN RD FL 1
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5018
Country	:	US
Telephone Number	:	240-475-2325
Fax Number	:

Provider Business Practice Location Address
First Line	:	5247 REISTERSTOWN RD 1ST FLOOR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5018
Country	:	US
Telephone Number	:	240-475-2325
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING CONSULTANT
Name	:	TERRI FIELDS
Credential	:
Telephone Number	:	443-567-6120

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	08/04/2023

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1780355701 — AMERICAN STANDARD HEALTH CARE INC
Practice Location Address:

5233 REISTERSTOWN RD
BALTIMORE, MD
21215-5018

Practice Phone: 443-682-7388
Practice Fax: 443-682-7388

1013695113 — 2ND JOURNEY LLC
Practice Location Address:

5247 REISTERSTOWN RD 1ST FLOOR
BALTIMORE, MD
21215-5018

Practice Phone: 240-475-2325
Practice Fax:

1821770264 — 2ND JOURNEY LLC
Practice Location Address:

5247 REISTERSTOWN RD 1ST FLOOR
BALTIMORE, MD
21215-5018

Practice Phone: 240-475-2325
Practice Fax:

Directions to “2ND JOURNEY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.