Organization · NPI-2

Imperial Mentoring, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · White Plains, MD

NPI number1407594344
StatusActive
Last updated in NPPESJun 8, 2022

Details

NPI
1407594344
Entity type
Organization (NPI-2)
Legal business name
Imperial Mentoring, LLC
Organization subpart
Yes
Enumeration date
May 20, 2022
Certification date
Jun 8, 2022
Last updated
Jun 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Bemindful Counseling Center, LLC (Doing Business As)

Practice location

4180 Windsor Heights Pl
White Plains, MD 20695-3465

Phone 410-702-8864

Mailing address

200 Wilson Point Rd Unit 4913
Middle River, MD 21220-7601

Phone 410-702-8864

Authorized official

Jessica Marie Waters
Owner
4107028864

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