# BODY MIND & SOUL FAMILY SERVICES, LLC

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

## Provider details

- **NPI number:** 1508428541
- **Authorized official:** MS. BOBBI HOWARD M.H.A. (DIRECTOR)
- **Authorized official phone:** (667) 325-7036

## Contact information

- **Practice address:** 1401 MADISON PARK DR STE 201, GLEN BURNIE, MD 21061-5881
- **Practice address phone:** (240) 620-6883
- **Mailing address:** 1401 MADISON PARK DR STE 201, GLEN BURNIE, MD 21061-5881
- **Mailing address phone:** (240) 620-6883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2019
- **Last updated:** 10/08/2024