Healthcare Provider Details

I. General information

NPI: 1144813783
Provider Name (Legal Business Name): CONFIDENCE IN YOU SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2021
Last Update Date: 08/23/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14280 BALTIMORE AVE # 1053
LAUREL MD
20707-5006
US

IV. Provider business mailing address

221 TRUCK FARM DR
GLEN BURNIE MD
21061-5154
US

V. Phone/Fax

Practice location:
  • Phone: 302-715-2503
  • Fax:
Mailing address:
  • Phone: 302-715-2503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SORENA SWEATT
Title or Position: CLINICIAL SOCIAL WORKER
Credential: LCSW-C, LICSW
Phone: 302-312-0363