| Intentional Healing Therapeutic Services, Llc | |
|
300 Allegheny Ave Ste 101 Towson MD 21204-4219 | |
| (443) 720-0806 | |
| Not Available |
| Full Name | Intentional Healing Therapeutic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Allegheny Ave Ste 101, Towson, Maryland |
| Authorized Official Name and Position | Sarita Hinton (PROVIDER) |
| Authorized Official Contact | 4437200806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Healing Therapeutic Services, Llc 6012 Loch Raven Blvd Baltimore MD 21239-2307 Ph: () - | Intentional Healing Therapeutic Services, Llc 300 Allegheny Ave Ste 101 Towson MD 21204-4219 Ph: (443) 720-0806 |
| NPI Number | 1649865437 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649865437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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