| Innovative Treatment Centers | |
|
325 Hospital Dr Ste 106 Glen Burnie MD 21061-5806 | |
| (443) 430-2998 | |
| (443) 431-8978 |
| Full Name | Innovative Treatment Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 Hospital Dr Ste 106, Glen Burnie, Maryland |
| Authorized Official Name and Position | Travis Alden Baird (OWNER) |
| Authorized Official Contact | 4434302998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Treatment Centers 325 Hospital Dr Ste 106 Glen Burnie MD 21061-5806 Ph: (917) 873-5716 | Innovative Treatment Centers 325 Hospital Dr Ste 106 Glen Burnie MD 21061-5806 Ph: (443) 430-2998 |
| NPI Number | 1568175867 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 1052784840 |
|---|---|
| Medicare Enrollment ID | O20230225000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568175867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Travis Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235548314 PECOS PAC ID: 3476853870 Enrollment ID: I20151207001932 |
| Provider Name | Navneet Kaur Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053809871 PECOS PAC ID: 2567982309 Enrollment ID: I20250224000898 |
| Provider Name | Ashley Ka Yan Tsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770475550 PECOS PAC ID: 8022516913 Enrollment ID: I20250811000727 |
| Provider Name | Cierra N Vaughters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043108210 PECOS PAC ID: 4082110903 Enrollment ID: I20250930003755 |
| Provider Name | Rabea Ilahe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801743315 PECOS PAC ID: 5799250718 Enrollment ID: I20260407004329 |
| Provider Name | Laura Rebecca Mata Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871010793 PECOS PAC ID: 9436423597 Enrollment ID: I20260408000671 |
| Provider Name | Alison Henry Manos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487509477 PECOS PAC ID: 8022583954 Enrollment ID: I20260408003384 |
| Provider Name | Carrie L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265709067 PECOS PAC ID: 0840422796 Enrollment ID: I20260623002947 |
Advanced Behavioral Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 Judy Rd, Glen Burnie, MD 21060 Phone: 443-710-2558 |
Kenah One Health Care Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Crain Hwy N, Glen Burnie, MD 21061 Phone: 667-232-1220 Fax: 443-288-4808 |
Optimal Care Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7310 Ritchie Hwy Ste 200, Glen Burnie, MD 21061 Phone: 240-728-7544 Fax: 240-593-5691 |
Adolescent and Family Services-mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Rd N, Suite A, Glen Burnie, MD 21060 Phone: 410-222-6785 Fax: 410-222-6888 |
Key Point Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 Crain Hwy S Fl 2, Glen Burnie, MD 21061 Phone: 443-625-2256 |
Relational Excellence, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 898 Airport Park Rd Ste 101, Glen Burnie, MD 21061 Phone: 410-768-4386 |