INTEGRATIVE THERAPY CENTER OF MARYLAND, LLC
Counselor

Address: 1501 Sulgrave Ave Ste 205, Baltimore, MD 21209-3650

INTEGRATIVE THERAPY CENTER OF MARYLAND, LLC (NPI# 1245795103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245795103
Entity Type Organization
Organization Name INTEGRATIVE THERAPY CENTER OF MARYLAND, LLC
Practice Address 1501 Sulgrave Ave Ste 205
Baltimore
MD 21209-3650
Practice Telephone 4142139636
Mailing Address 2810 Hanson Ave
Baltimore
MD 21209-3912
Enumeration Date 2019-02-05
Last Update Date 2019-02-05
Authorized Official Telephone 4142139636
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 104100000X Social Worker 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 1501 SULGRAVE AVE STE 205
City BALTIMORE
State MD
Zip Code 21209-3650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013049550 Mark Mishory Counselor - Professional 1501 Sulgrave Ave Ste 205, Baltimore, MD 21209-3650 2007-03-11
1942624242 Lisa Nawei Chen Psychiatry & Neurology - Psychiatry 1501 Sulgrave Ave Ste 205, Baltimore, MD 21209-3650 2014-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891208484 Solomon Counseling, LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 2017-11-06
1114454352 Patricia Ann Dunn Counselor - Mental Health 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2017-05-18
1821550856 Meira Ference Counselor - Mental Health 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 2019-03-31
1033737226 Sara Bortner Registered Nurse 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2020-07-14
1427442375 Elise Turner Psychiatry & Neurology - Psychiatry 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2015-03-27
1083228506 Gladstone Psychiatry Clinic/Center - Mental Health (Including Community Mental Health Center) 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2020-09-02
1942855523 Sirah Leyere-Ue Okoluku Nurse Practitioner - Psych/Mental Health 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2019-08-09
1245625318 Raheela Sultan Psychiatry & Neurology - Child & Adolescent Psychiatry 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2015-04-05
1881152783 Mark Anthony Bergonia Ison Nurse Practitioner - Psych/Mental Health 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 2019-03-09
1285213843 Leistikowmd LLC Clinic/Center - Adult Mental Health 1501 Sulgrave Ave Ste 202, Baltimore, MD 21209-3650 2021-04-02
Find all in zip 21209-3650

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1659996239 Esther Deena Kahn Occupational Therapist 2325 Blackberry Rd, Baltimore, MD 21209 2020-06-10
1083118418 Jerome N Beck Speech-Language Pathologist 5710 Newbury St., Baltimore, MD 21209 2018-03-21
1982161246 Sylvia Stewart Powell Social Worker - Clinical 4600 Falls Road, Baltimore, MD 21209 2019-02-22
1841690872 Renee Klein-Costa Physical Therapist 1303 Asbury Rd, Baltimore, MD 21209 2014-08-27
1326427246 Kerri Peschock Registered Nurse 5801 Smith Ave. Suite 210, Baltimore, MD 21209 2015-05-26
1700309002 Michelle Demeule-Hayes Dietitian, Registered 1708 West Rogers Ave, Baltimore, MD 21209 2017-07-19
1124557624 Allyson Levy Behavior Technician 5 Hurdleford Ct, Baltimore, MD 21209 2017-06-08
1356988059 Bunny's Home Care, LLC Home Health Aide 1340 Smith Avenue, Baltimore, MD 21209 2019-12-02
1447784483 Arnita Grant Licensed Practical Nurse 6310 Green Spring Avenue, Suite 303, Baltimore, MD 21209 2017-04-17
1134549678 Cheryl Schabes Speech-Language Pathologist 2305 Hanway Road, Baltimore, MD 21209 2014-04-23
Find all in zip 21209

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841876836 Shirley Parker Counselor 151 N Linwood Ave, Baltimore, MD 21224-1248 2021-03-22
1881279453 Andrea Buchanan Counselor 2639 Eastern Ave, Baltimore, MD 21224-3704 2021-03-15
1093307118 Carla Corsey Counselor 2220 Saint Paul St, Baltimore, MD 21218-5805 2021-02-10
1417544941 Amanda Schmidt Counselor 4639 Falls Rd, Baltimore, MD 21209-4914 2020-12-30
1023629375 Dlls & T Counselor 6609 Reisterstown Rd Ste 205, Baltimore, MD 21215-2634 2020-08-11
1285293340 Healing Minds, LLC Counselor 4300 Belair Rd Ste C, Baltimore, MD 21206-6300 2019-06-11
1750843058 Noelle L Benach Counselor 222 W Read St Fl 2, Baltimore, MD 21201-4809 2019-04-04
1013478841 Angela L Williams Counselor 5543 Lanham Way, Baltimore, MD 21206-3028 2019-03-26
1609333061 Elizabeth A Rich Counselor 1190 W Northern Pkwy Apt 503, Baltimore, MD 21210-1454 2019-02-21
1235694308 Martin Weishaar Counselor 3000 Chestnut Ave Ste 202a, Baltimore, MD 21211-2727 2019-02-04
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.