Organization
HER MIND HER BODY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACHRISIA LORRAINE MATTHEWS LCPC (THERAPIST)
(202) 250-4393
Entity
Organization
Contact information
Practice address
10711 RED RUN BLVD STE 112, OWINGS MILLS, MD 21117-5138
(202) 250-4393
Mailing address
10711 RED RUN BLVD STE 112, OWINGS MILLS, MD 21117-5138
(202) 250-4393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055839700
—
MD
Enumeration date
03/01/2022
Last updated
03/01/2022
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