Provider Demographics
NPI:1073122511
Name:BADMUS, RASHEED (BA, FFM FACILITATOR)
Entity Type:Individual
Prefix:MR
First Name:RASHEED
Middle Name:
Last Name:BADMUS
Suffix:
Gender:M
Credentials:BA, FFM FACILITATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SOLAR CIR APT A
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-6831
Mailing Address - Country:US
Mailing Address - Phone:443-948-2126
Mailing Address - Fax:
Practice Address - Street 1:46 SOLAR CIR APT A
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-6831
Practice Address - Country:US
Practice Address - Phone:443-948-2126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)