Organization
MIND BODY ART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA DAVIS (OWNER)
(301) 204-4355
Entity
Organization
Contact information
Practice address
11710 LEESBOROUGH CIR, SILVER SPRING, MD 20902-2829
(301) 204-4355
Mailing address
11710 LEESBOROUGH CIR, SILVER SPRING, MD 20902-2829
(301) 204-4355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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