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Organization
A CLEAN START LLC
Active
Organization
A CLEAN START LLC
Active
Other names
A Clean Start Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANIKKA STOKES BS (CEO)
(443) 516-7160
Entity
Organization
Contact information
Practice address
3 GREENWOOD PL STE 108, PIKESVILLE, MD 21208-2701
(410) 205-7698
(443) 450-5937
Mailing address
3 GREENWOOD PL STE 108, PIKESVILLE, MD 21208-2701
(410) 205-7698
(443) 450-5937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
164W00000X
Licensed Practical Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/26/2018
Last updated
01/10/2023
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