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

Sacred Rebirth

Organization Addiction (Substance Use Disorder) Counselor · NPI 1730066028

Sacred Rebirth is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Phone: (443) 653-6819
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Contractor Taxonomy 171W00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1730066028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alise Burrow — Ceo · (443) 653-6819
NPI enumeratedAugust 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address6340 Security Blvd Ste 100, Baltimore, MD 21207-5284

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