| Inspiring & Empowering Change, Llc | |
|
5209 York Road Suite M20b Mailbox A13 Baltimore MD 21212-4225 | |
| (410) 693-2609 | |
| Not Available |
| Full Name | Inspiring & Empowering Change, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5209 York Road, Baltimore, Maryland |
| Authorized Official Name and Position | Lolamae Russell (CEO) |
| Authorized Official Contact | 4106932609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiring & Empowering Change, Llc 5209 York Road Suite M20b Mailbox A13 Baltimore MD 21212-4225 Ph: (410) 693-2609 | Inspiring & Empowering Change, Llc 5209 York Road Suite M20b Mailbox A13 Baltimore MD 21212-4225 Ph: (410) 693-2609 |
| NPI Number | 1376017186 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376017186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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