Healthcare Provider Details

I. General information

NPI: 1477024727
Provider Name (Legal Business Name): INSTITUTE FOR HEALING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2018
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
21117-7570
US

IV. Provider business mailing address

9419 COMMON BROOK RD STE 206-208
OWINGS MILLS MD
21117-7536
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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