Organization
BEYOND DYNAMIC POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M BROWN-GILBERT (OWNER)
(240) 844-2441
Entity
Organization
Contact information
Practice address
15230 REGINA DR, BRANDYWINE, MD 20613-4225
(240) 844-2441
Mailing address
15230 REGINA DR, BRANDYWINE, MD 20613-4225
(240) 844-2441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212130100
—
MD
Enumeration date
04/02/2022
Last updated
04/02/2022
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