Inner Peace Therapeutic Services, Llc

LBN: Inner Peace Therapeutic Services, Llc
Inner Peace Therapeutic Services, Llc is an health care organization with primary practice located at 22776 Three Notch Rd Ste 210 , Lexington Park MD 20653-3370. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Inner Peace Therapeutic Services, Llc can be contacted via phone (301) 866-6333, or through Grantland, Jacqueline Dale via phone (301) 866-6333.

Contact Information

Primary practice address
22776 Three Notch Rd Ste 210 Lexington Park MD 20653-3370
Fax: (240) 718-1906
Website:
Authorized official contact:
Name: Grantland, Jacqueline Dale DR.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC4189 Maryland

Profile Details

NPI number 1710303573
LBN Legal business name Inner Peace Therapeutic Services, Llc
DBA Doing business as
Authorized official Grantland, Jacqueline Dale DR.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2014
Last updated Feb 2nd, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710303573 NPPES
North Carolina MEDICAID 6103219

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