Organization
INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
Active
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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