Organization
HER MIND HER BODY CLINICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACHRISIA LORRAINE MATTHEWS LCPC, LPC (OWNER)
(202) 250-4393
Entity
Organization
Contact information
Practice address
2601 N ROLLING RD STE 105, BALTIMORE, MD 21244-1988
(202) 250-4393
Mailing address
9332 ANNAPOLIS RD STE 304, LANHAM, MD 20706-3168
(202) 250-4393
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LC4547
MD
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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