Healthcare Provider Details
I. General information
NPI: 1073439287
Provider Name (Legal Business Name): INNER COMPASS COUNSELING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 WASHINGTON AVE FL 4
TOWSON MD
21204-4763
US
IV. Provider business mailing address
3438 EMMORTON RD
ABINGDON MD
21009-2016
US
V. Phone/Fax
- Phone: 410-541-6050
- Fax: 410-941-6204
- Phone: 410-913-2818
- Fax: 410-941-6204
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
JAMES
FREITAG
Title or Position: CO-OWNER
Credential: LCSWC
Phone: 410-980-5966