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

Integrative Therapy Center of Maryland, LLC

Organization Counselor · NPI 1245795103

Integrative Therapy Center of Maryland, LLC is a Counselor in Baltimore, Maryland. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 Sulgrave Ave Ste 205
Baltimore, MD 21209-3650
Phone: (414) 213-9636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X

Record details

NPI number1245795103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moshe Miller — Owner · (414) 213-9636
NPI enumeratedFebruary 5, 2019
Last updated in NPPESFebruary 5, 2019
Mailing address2810 Hanson Ave, Baltimore, MD 21209-3912

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