Inspiring Change Mental Health Services, Llc.

LBN: Inspiring Change Mental Health Services, Llc.
Inspiring Change Mental Health Services, Llc. is an health care organization with primary practice located at 4654 York Rd Ste 1A , Baltimore MD 21212-4726. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Recovery Care. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Inspiring Change Mental Health Services, Llc. can be contacted via phone (410) 258-6714, or through Foster-Dotson, Shaquanna via phone (410) 258-6714.

Contact Information

Primary practice address
4654 York Rd Ste 1A Baltimore MD 21212-4726
Phone: (410) 258-6714
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Foster-Dotson, Shaquanna LCSW-C
Phone: (410) 258-6714

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1497365654
LBN Legal business name Inspiring Change Mental Health Services, Llc.
DBA Doing business as
Authorized official Foster-Dotson, Shaquanna LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2020
Last updated Aug 2nd, 2021 - about 3 years 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 1497365654 NPPES
Maryland MEDICAID 677502100

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