Organization
INSIGHTFUL LIFE THERAPEUTIC SERVICES LLC
Active
Parent organization
INSIGHTFUL LIFE THERAPEUTIC SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSIGHTFUL LIFE THERAPEUTIC SERVICES, LLC
Authorized official
DR. STANLEY I NWOGWUGWU PH.D, LCPC, LCADC (PROGRAM DIRECTOR)
(443) 873-7197
Entity
Organization
Contact information
Practice address
575 S CHARLES ST STE 140, BALTIMORE, MD 21201-2477
(443) 873-7197
(443) 873-7198
Mailing address
575 S CHARLES ST STE 140, BALTIMORE, MD 21201-2477
(443) 873-7197
(443) 873-7198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/11/2023
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