Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Life Therapeutic Solutions

Organization Clinical Social Worker · NPI 1396423240

Integrated Life Therapeutic Solutions is a Clinical Social Worker in Baltimore, Maryland. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

4024 Colborne Rd
Baltimore, MD 21229-1903
Phone: (443) 422-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1396423240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khadejah McDougald — Owner · (443) 422-5095
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address4024 Colborne Rd, Baltimore, MD 21229-1903

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