Provider Demographics
NPI:1144607714
Name:INVISION COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:INVISION COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:EWING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-595-7791
Mailing Address - Street 1:711 W 40TH ST STE 324
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2109
Mailing Address - Country:US
Mailing Address - Phone:443-595-7791
Mailing Address - Fax:844-591-0914
Practice Address - Street 1:711 W 40TH ST STE 324
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2109
Practice Address - Country:US
Practice Address - Phone:443-595-7791
Practice Address - Fax:844-591-0914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-02
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03441251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health