Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Issiaih House 1

Organization Addiction (Substance Use Disorder) Counselor · NPI 1205460284

Issiaih House 1 is an Addiction (Substance Use Disorder) Counselor in Glen Burnie, Maryland. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

1406B Crain Hwy S Ste 201
Glen Burnie, MD 21061-4336
Phone: (443) 882-1943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1205460284
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIssaiah House Inc
Authorized official Darryl Braxton — Owner · (443) 882-1943
Other names Issaiah House 1 Inc
NPI enumeratedFebruary 27, 2020
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address4313 Briggs Chaney Rd, Beltsville, MD 20705-1044

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