Organization
MIND OVER MATTER HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA MARIA AL-MATEEN LCPC, MAC, ACS (CEO)
(410) 982-1353
Entity
Organization
Contact information
Practice address
7700 OLD BRANCH AVE, B204, CLINTON, MD 20735-1628
(301) 868-0849
Mailing address
7700 OLD BRANCH AVE, B204, CLINTON, MD 20735-1628
(301) 868-0849
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577200101
—
MD
Enumeration date
05/27/2016
Last updated
05/27/2016
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