INSIGHTFUL LIFE THERAPEUTIC SERVICES LLC NPI 1689033771

NPI Information

NPI: 1689033771
Provider Name: INSIGHTFUL LIFE THERAPEUTIC SERVICES LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
575 S CHARLES ST STE 140
BALTIMORE, MD
ZIP 21201
Phone: (443) 873-7197
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INSIGHTFUL LIFE THERAPEUTIC SERVICES LLC is a professional counselor in Baltimore, MD. INSIGHTFUL LIFE THERAPEUTIC SERVICES LLC NPI is 1689033771. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

575 S CHARLES ST STE 140
BALTIMORE, MD
ZIP 21201-477
Phone: (443) 873-7197
Fax: (443) 873-7198

The provider's authorized official is Stanley Nwogwugwu .
The authorized official title is Ceo and has the following contact phone number (443) 873-7197.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 1/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCA1914	MARYLAND	No
2	101YP2500X	Counselor	Professional	LC2385	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	421854000	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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