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Contact Information

INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
17 WARREN ROAD
SUITE 25A
PIKESVILLE, MD21208-5003
 Phone: 410-258-6714
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Clinical Pharmacology

208U00000X
 

Community/Behavioral Health

251S00000X
 

Marriage & Family Therapist

106H00000X
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.

NPI Number 1174927164
LBN Legal business name INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
Authorized official SHAQUANNA FOSTER-DOTSON - (SOCIAL WORKER/ OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2014
Last updated 08/13/2019 - About 7 years ago
Identifiers
MD License # 14879
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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