Organization
BODY MIND & SOUL FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOBBI HOWARD M.H.A. (DIRECTOR)
(667) 325-7036
Entity
Organization
Contact information
Practice address
1401 MADISON PARK DR STE 201, GLEN BURNIE, MD 21061-5881
(240) 620-6883
Mailing address
1401 MADISON PARK DR STE 201, GLEN BURNIE, MD 21061-5881
(240) 620-6883
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110595700
—
MD
Enumeration date
06/30/2019
Last updated
10/08/2024
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