Healthcare Provider Details

I. General information

NPI: 1184551475
Provider Name (Legal Business Name): IT IS ALL HIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1998 ROCK SPRING RD STE D
FOREST HILL MD
21050-2664
US

IV. Provider business mailing address

1998 ROCK SPRING RD STE D
FOREST HILL MD
21050-2664
US

V. Phone/Fax

Practice location:
  • Phone: 410-891-4600
  • Fax:
Mailing address:
  • Phone: 410-891-4600
  • Fax: 410-891-4600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN NICOLE WOOTON
Title or Position: CO-OWNER
Credential:
Phone: 443-910-5425