# INNER PEACE THERAPEUTIC SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710303573
- **Authorized official:** JACQUELINE DALE GRANTLAND DR. (OWNER)
- **Authorized official phone:** (301) 866-6333

## Contact information

- **Practice address:** 22776 THREE NOTCH RD STE 210, LEXINGTON PARK, MD 20653-3370
- **Practice address phone:** (301) 866-6333
- **Practice address fax:** (240) 718-1906
- **Mailing address:** PO BOX 1662, LEXINGTON PARK, MD 20653-1662
- **Mailing address phone:** (240) 718-8460
- **Mailing address fax:** (240) 718-1906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LC4189 | MD | Yes |

## Other

- **Enumeration date:** 03/17/2014
- **Last updated:** 02/02/2024