# MIND, BODY AND SOUL COUNSELING, LLC

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

## Provider details

- **NPI number:** 1518551472
- **Authorized official:** KEYZA TAIWAH TURNER LCSW-C (CEO)
- **Authorized official phone:** (443) 857-9551

## Contact information

- **Practice address:** 1900 E NORTHERN PKWY STE 305A, BALTIMORE, MD 21239-2111
- **Practice address phone:** (443) 857-9551
- **Mailing address:** 1900 E NORTHERN PKWY STE 305A, BALTIMORE, MD 21239-2111
- **Mailing address phone:** (443) 857-9551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 02/22/2021
- **Last updated:** 02/25/2021