Organization
ELITE BEHAVIORAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRTA ELVIRE INNIS-THOMPSON LCSW,LICSW,DSW (LCSW LICENSED PSYCHOTHERAPIST)
(202) 763-9178
Entity
Organization
Contact information
Practice address
11140 ROCKVILLE PIKE STE 480-E, NORTH BETHESDA, MD 20852-3106
(240) 403-7582
(240) 403-7629
Mailing address
11140 ROCKVILLE PIKE STE 480-E, SUITE 480-E, NORTH BETHESDA, MD 20852-3106
(240) 408-7582
(240) 403-7629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
09/16/2025
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