Organization
THE INSTITUTE FOR EMOTIONAL REGULATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY INGRAM LCSW-C (C.E.O.)
(202) 297-9992
Entity
Organization
Contact information
Practice address
3200 CRAIN HWY STE 205, WALDORF, MD 20603-4843
(202) 297-9992
(800) 956-3010
Mailing address
16140 GINGER ROOT LN, BRANDYWINE, MD 20613-4186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730692278
—
MD
Enumeration date
11/07/2017
Last updated
03/05/2019
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