Organization
INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
Active
Other names
Inspiring Change Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUANNA FOSTER-DOTSON LCSWC (SOCIAL WORKER/ OWNER)
(410) 254-6714
Entity
Organization
Contact information
Practice address
17 WARREN ROAD, SUITE 25A, PIKESVILLE, MD 21208-5003
(410) 258-6714
Mailing address
PO BOX 7036, BALTIMORE, MD 21216-0036
(410) 258-6714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14879
MD
1041S0200X
School Social Worker
14879
MD
106H00000X
Marriage & Family Therapist
14879
MD
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208U00000X
Clinical Pharmacology Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/20/2014
Last updated
08/13/2019
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