Healthcare Provider Details

I. General information

NPI: 1083536742
Provider Name (Legal Business Name): HOPE IN MOTION COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 CHANEYVILLE RD STE 100
OWINGS MD
20736-4348
US

IV. Provider business mailing address

9750 TARA DR
DUNKIRK MD
20754-3004
US

V. Phone/Fax

Practice location:
  • Phone: 410-449-0428
  • Fax:
Mailing address:
  • Phone: 410-449-0428
  • 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: AMANDA PETERSON
Title or Position: OWNER/MENTAL HEALTH THERAPIST
Credential: LCPC
Phone: 410-449-0428