# URBAN COUNSELING INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154637999
- **Authorized official:** MR. STEVEN TILLMAN MS, CAC (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (301) 278-7956

## Contact information

- **Practice address:** 4400 STAMP ROAD, SUITE \#208, TEMPLE HILLS, MD 20748-1242
- **Practice address phone:** (301) 278-7956
- **Practice address fax:** (301) 909-0916
- **Mailing address:** 4400 STAMP ROAD, SUITE \#208, TEMPLE HILLS, MD 20748-1242
- **Mailing address phone:** (301) 278-7956
- **Mailing address fax:** (301) 909-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ADD13749 | DC | Yes |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 11/29/2016