INNOVATIVE THERAPEUTIC SERVICES LLC NPI 1003147505

NPI Information

NPI: 1003147505
Provider Name: INNOVATIVE THERAPEUTIC SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

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

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
1	1041C0700X	Social Worker	Clinical	15169	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	LC1655	MARYLAND	No
3	101YM0800X	Counselor	Mental Health	LC3403	MARYLAND	Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »