Provider Demographics
NPI:1548449804
Name:WITH KIDS IN MIND THERAPY SERVICES INC.
Entity type:Organization
Organization Name:WITH KIDS IN MIND THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HILLMANN PRENTICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-573-1064
Mailing Address - Street 1:130 LUBRONO DR
Mailing Address - Street 2:SUITE L13
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7038
Mailing Address - Country:US
Mailing Address - Phone:410-573-1064
Mailing Address - Fax:410-573-1065
Practice Address - Street 1:130 LUBRONO DR
Practice Address - Street 2:SUITE L13
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7038
Practice Address - Country:US
Practice Address - Phone:410-573-1064
Practice Address - Fax:410-573-1065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2251P0200X, 235Z00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty