Organization
INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAQUANNA FOSTER-DOTSON LCSW-C (PRESIDENT/ FOUNDER)
(410) 258-6714
Entity
Organization
Contact information
Practice address
4654 YORK RD STE 1A, BALTIMORE, MD 21212-4726
(410) 258-6714
Mailing address
4654 YORK RD STE 1A, BALTIMORE, MD 21212-4726
(410) 258-6714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677502100
—
MD
Enumeration date
08/03/2020
Last updated
04/30/2026
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