Healthcare Provider Details

I. General information

NPI: 1467276113
Provider Name (Legal Business Name): INNER GROWTH THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 SCHILLING RD STE LL1
HUNT VALLEY MD
21031-8610
US

IV. Provider business mailing address

5411 W CEDAR LN STE 104A
BETHESDA MD
20814-1516
US

V. Phone/Fax

Practice location:
  • Phone: 240-855-8535
  • Fax:
Mailing address:
  • Phone: 240-855-8535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ZOE NASIOS
Title or Position: OWNER
Credential: LCSW-C
Phone: 240-855-8535