Body Mind & Soul Family Services, LLC
Nurse Practitioner, Psych/Mental Health in Glen Burnie, MD. Organization (NPI-2).
NPI number1508428541
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1508428541
- Entity type
- Organization (NPI-2)
- Legal business name
- Body Mind & Soul Family Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2019
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
1401 Madison Park Dr Ste 201Glen Burnie, MD 21061-5881
Phone 240-620-6883
Mailing address
1401 Madison Park Dr Ste 201Glen Burnie, MD 21061-5881
Phone 240-620-6883
Authorized official
Bobbi Howard
Director
6673257036
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