Provider Demographics
NPI:1922772342
Name:IN THE GAP ACADEMY, LLC
Entity Type:Organization
Organization Name:IN THE GAP ACADEMY, LLC
Other - Org Name:ITG ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:POPOOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-847-4844
Mailing Address - Street 1:7375 EXECUTIVE PL STE 214&216
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2278
Mailing Address - Country:US
Mailing Address - Phone:240-847-4844
Mailing Address - Fax:
Practice Address - Street 1:7375 EXECUTIVE PL STE 214&216
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2278
Practice Address - Country:US
Practice Address - Phone:240-847-4844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IN THE GAP INSTITUTE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-09
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder