INNER PEACE THERAPEUTIC SERVICES LLC NPI 1710303573

NPI Information

NPI: 1710303573
Provider Name: INNER PEACE THERAPEUTIC SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD
ZIP 20653
Phone: (301) 866-6333
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INNER PEACE THERAPEUTIC SERVICES, LLC is a mental health counselor in Lexington Park, MD. INNER PEACE THERAPEUTIC SERVICES, LLC NPI is 1710303573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22776 THREE NOTCH RD STE 210
LEXINGTON PARK, MD
ZIP 20653-370
Phone: (301) 866-6333
Fax: (240) 718-1906

The provider's authorized official is Jacqueline Dale Grantland .
The authorized official title is Owner and has the following contact phone number (301) 866-6333.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 2/2/2024.

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	101YM0800X	Counselor	Mental Health	LC4189	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	6103219	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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