| Organization Name: | INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC. |
| NPI Number: | 1174927164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAQUANNA FOSTER-DOTSON (SOCIAL WORKER/ OWNER) |
| Mailing Address: | 17 Warren Road Suite 25a Pikesville |
| State: | MD US |
| Postal Code: | 212085003 |
| Phone Number: | 4102586714 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2014 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 14879 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |