Organization
THE IMPRINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE MARIE WALKER (CEO/FOUNDER)
(240) 468-7824
Entity
Organization
Contact information
Practice address
10770 COLUMBIA PIKE STE 300E-52, SILVER SPRING, MD 20901-4402
(240) 468-7824
Mailing address
10770 COLUMBIA PIKE STE 300E-52, SILVER SPRING, MD 20901-4402
(240) 468-7824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/18/2020
Last updated
04/10/2023
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