Organization · NPI-2

1 Axium, LLC

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

NPI number1619779048
StatusActive
Last updated in NPPESMar 26, 2025

Details

NPI
1619779048
Entity type
Organization (NPI-2)
Legal business name
1 Axium, LLC
Organization subpart
No
Enumeration date
Mar 26, 2025
Certification date
Mar 25, 2025
Last updated
Mar 26, 2025

Taxonomy and licenses

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

Practice location

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

Phone 202-808-2878 · Fax 202-292-4141

Mailing address

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

Phone 202-808-2878 · Fax 202-808-2878

Authorized official

Gwendolyn Love Kimbrough
Ceo
2028082878

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Beltsville, MD