Organization · NPI-2

Fearlessly Inspired Therapeutic Solutions, LLC

Counselor, Professional · Annapolis, MD

NPI number1669182176

StatusActive

Last updated in NPPESApr 11, 2024

Details

NPI: 1669182176
Entity type: Organization (NPI-2)
Legal business name: Fearlessly Inspired Therapeutic Solutions, LLC
Organization subpart: No
Enumeration date: Nov 28, 2022
Certification date: Apr 11, 2024
Last updated: Apr 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YP2500X	Counselor, Professional	–	–	Yes
101Y00000X	Counselor	–	–
103TC0700X	Psychologist, Clinical	–	–
103TC2200X	Psychologist, Clinical Child & Adolescent	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–
221700000X	Art Therapist	–	–
225A00000X	Music Therapist	–	–

Practice location

139 Old Solomons Island Rd Ste F
Annapolis, MD 21401-0906

Phone 301-750-1065

Mailing address

139 Old Solomons Island Rd Ste F
Annapolis, MD 21401-0906

Phone 301-750-1065

Authorized official

Laryssa Creswell
Owner/Therapist
3017501065

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