# HER MIND HER BODY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376299149
- **Authorized official:** LACHRISIA LORRAINE MATTHEWS LCPC (THERAPIST)
- **Authorized official phone:** (202) 250-4393

## Contact information

- **Practice address:** 10711 RED RUN BLVD STE 112, OWINGS MILLS, MD 21117-5138
- **Practice address phone:** (202) 250-4393
- **Mailing address:** 10711 RED RUN BLVD STE 112, OWINGS MILLS, MD 21117-5138
- **Mailing address phone:** (202) 250-4393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/01/2022