NPI 1003147505

Innovative Therapeutic Services, LLC

Organisation Mental Health Counselor Laurel, MD

Practice location

Address: 14440 Cherry Lane CT Suite 208, Laurel, MD 20707-4946
Phone: (301) 604-1458

Authorised official

Name: Misty Cromartie
Title: Ceo
Phone: (301) 455-7872

Registered specialties (3)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LC3403 (MD)

Other Counselor providers in Maryland →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LC1655 (MD)

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 15169 (MD)

Other Social Worker providers in Maryland →

Registry record

NPI: 1003147505
Entity type: Organization
NPI issued: 22 Jan 2010
Record last updated: 9 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.