Healthcare Provider Details

I. General information

NPI: 1487442539
Provider Name (Legal Business Name): STRATEGIC THERAPEUTIC SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3709 PULASKI HWY STE 8
ABINGDON MD
21009-1302
US

IV. Provider business mailing address

2457 BEAVER CROSSING RD
EDGEWOOD MD
21040-1327
US

V. Phone/Fax

Practice location:
  • Phone: 443-414-3328
  • Fax:
Mailing address:
  • Phone: 443-414-3328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAWNNA TENNIA JOHNSON
Title or Position: FOUNDER/CEO
Credential: LCPC
Phone: 443-414-3328