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General NPI Number Information
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NPI Number | 1508632720
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Entity Type | Organization
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Legal Business Name | TRUE INTEGRITY COUNSELING CENTER LLC
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 1900 E NORTHERN PKWY STE 107
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City | BALTIMORE
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State | MD
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Zip | 21239-2113
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Country | US
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Telephone | 443-815-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 6240 CROFTON DR
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City | ALPHARETTA
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State | GA
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Zip | 30005-8376
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Country | US
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Telephone | 678-469-6843
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Fax | 678-902-7615
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Authorized Official
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Title or Position | CEO
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Name | MR. KEITH FREDERICK SMITH
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Credential |
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Telephone | 678-469-6843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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