Healthcare Provider Details

I. General information

NPI: 1528900347
Provider Name (Legal Business Name): IN THE GAP ACADEMY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 CEDAR HEIGHTS DR
CAPITOL HEIGHTS MD
20743-6416
US

IV. Provider business mailing address

8401 CORPORATE DR STE 420
LANDOVER MD
20785-2277
US

V. Phone/Fax

Practice location:
  • Phone: 301-747-1003
  • Fax:
Mailing address:
  • Phone: 301-747-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. ESTHER O. POPOOLA
Title or Position: CEO
Credential: LCSW-C, LCADC
Phone: 301-747-1047