Provider Demographics
NPI:1972842920
Name:IHS PSYCHOTHERAPY AND COUNSELING LLC
Entity Type:Organization
Organization Name:IHS PSYCHOTHERAPY AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-919-8275
Mailing Address - Street 1:6011 UNIVERSITY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6108
Mailing Address - Country:US
Mailing Address - Phone:410-919-8275
Mailing Address - Fax:
Practice Address - Street 1:6011 UNIVERSITY BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-6108
Practice Address - Country:US
Practice Address - Phone:410-919-8275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty