Healthcare Provider Details

I. General information

NPI: 1730015777
Provider Name (Legal Business Name): INTEGRATED CARE OPTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8133 PENNINGTON DR
LAUREL MD
20724-6120
US

IV. Provider business mailing address

8133 PENNINGTON DR
LAUREL MD
20724-6120
US

V. Phone/Fax

Practice location:
  • Phone: 301-538-8668
  • Fax:
Mailing address:
  • Phone: 301-538-8668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CECILIA AKOTO-SOMIAH
Title or Position: OWNER
Credential:
Phone: 301-538-8668