Healthcare Provider Details

I. General information

NPI: 1275487498
Provider Name (Legal Business Name): INTEGRATED MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 LEIGH WAY
OXON HILL MD
20745-1248
US

IV. Provider business mailing address

627 LEIGH WAY
OXON HILL MD
20745-1248
US

V. Phone/Fax

Practice location:
  • Phone: 301-979-8300
  • Fax: 866-226-7154
Mailing address:
  • Phone: 301-979-8300
  • Fax: 866-226-7154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: GWENDOLYN LINDSEY
Title or Position: CEO
Credential:
Phone: 301-979-8300