INNOVATIVE THERAPEUTIC SERVICES LLC NPI 1003147505

NPI Information

  • NPI: 1003147505
  • Provider Name: INNOVATIVE THERAPEUTIC SERVICES, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 14440 CHERRY LANE CT
    SUITE 208
    LAUREL, MD
    ZIP 20707
  • Phone: (301) 604-1458

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NPI Details

INNOVATIVE THERAPEUTIC SERVICES, LLC is a mental health counselor in Laurel, MD. INNOVATIVE THERAPEUTIC SERVICES, LLC NPI is 1003147505. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14440 CHERRY LANE CT
SUITE 208
LAUREL, MD
ZIP 20707-946
Phone: (301) 604-1458

The provider's authorized official is Misty Cromartie .
The authorized official title is Ceo and has the following contact phone number (301) 455-7872.

The enumeration date for this NPI number is 1/22/2010 and was last updated on 3/9/2012.

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
11041C0700XSocial WorkerClinical15169MARYLANDNo
2101YM0800XCounselorMental HealthLC1655MARYLANDNo
3101YM0800XCounselorMental HealthLC3403MARYLANDYes

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: 11/21/2025

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