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

Vintage Healthcare Services LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1336949577

Vintage Healthcare Services LLC is an Addiction (Substance Use Disorder) Counselor in Columbia, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10310 Swift Stream Pl Apt 109
Columbia, MD 21044-4881
Phone: (202) 843-3537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Community/Behavioral Health Agency Taxonomy 251S00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1336949577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elijah Jones — Ceo · (202) 843-3535
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address1201 Connecticut Ave Nw Ste 531, Washington, DC 20036-2729

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