Healthcare Provider Details

I. General information

NPI: 1629438122
Provider Name (Legal Business Name): INSTITUTE FOR HEALING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2016
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9419 COMMON BROOK RD SUITE 206-208
OWINGS MILLS MD
21117
US

IV. Provider business mailing address

9419 COMMON BROOK RD STE 208
OWINGS MILLS MD
21117-7570
US

V. Phone/Fax

Practice location:
  • Phone: 410-864-0211
  • Fax: 410-618-4163
Mailing address:
  • Phone: 410-864-0211
  • Fax: 410-618-4163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number04493
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number04993
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number04993
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04993
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number04993
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number04993
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number04993
License Number StateMD

VIII. Authorized Official

Name: DR. LA KEITA DENEEN CARTER
Title or Position: OWNER
Credential: PSYD
Phone: 410-864-0211