Organization · NPI-2

1 Axium, LLC

Community/Behavioral Health · Beltsville, MD

NPI number1346697208

StatusActive

Last updated in NPPESNov 5, 2024

Details

NPI: 1346697208
Entity type: Organization (NPI-2)
Legal business name: 1 Axium, LLC
Organization subpart: No
Enumeration date: May 20, 2016
Certification date: Nov 5, 2024
Last updated: Nov 5, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
103K00000X	Behavior Analyst	–	–
103TC0700X	Psychologist, Clinical	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–
103TR0400X	Psychologist, Rehabilitation	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–
251B00000X	Case Management	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251E00000X	Home Health	–	–
253Z00000X	In Home Supportive Care	–	–
385H00000X	Respite Care	–	–

Other names

1st Axium, LLC (Other Name)

Practice location

4041 Powder Mill Rd Ste 300
Beltsville, MD 20705-3106

Phone 202-808-2878 · Fax 202-506-2754

Mailing address

4041 Powder Mill Rd Ste 300
Beltsville, MD 20705-0004

Phone 202-808-2878 · Fax 202-506-2754

Authorized official

Gwendolyn Love Kimbrough
Ceo
2028082878

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