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

Port Recovery Iop Inc

Organization Mental Health Counselor · NPI 1578026464

Port Recovery Iop Inc is a Mental Health Counselor in Nottingham, Maryland. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Phone: (443) 869-4909
Fax: (443) 869-4928
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1578026464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Granruth — Owner · (410) 534-8735
NPI enumeratedApril 9, 2019
Last updated in NPPESApril 9, 2019
Mailing address8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236-3028

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