| NPI | 1639791114 |
|---|---|
| Doing Business As | IHEAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHANNON R. JORDAN Director 410-756-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 102L00000X Psychoanalyst | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 103TF0000X Psychologist, Family | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |