Healthcare Provider Details

I. General information

NPI: 1144607714
Provider Name (Legal Business Name): INVISION COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2015
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CHESTNUT AVE SUITE 107
BALTIMORE MD
21211
US

IV. Provider business mailing address

9613C HARFORD RD # 220
PARKVILLE MD
21234-2103
US

V. Phone/Fax

Practice location:
  • Phone: 443-595-7791
  • Fax: 844-591-0914
Mailing address:
  • Phone: 443-595-7791
  • Fax: 844-591-0914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number03441
License Number StateMD

VIII. Authorized Official

Name: KIMBERLY M. EWING
Title or Position: LICENSED PSYCHOLOGIST/MANAGER
Credential: PH.D.
Phone: 443-595-7791