Organization
BEAUTIFULLY BROKEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VENUS SIMMS LCSW-C (OWNER)
(817) 721-3997
Entity
Organization
Contact information
Practice address
312 SCOTT ST, BALTIMORE, MD 21230-2105
(817) 721-3997
Mailing address
841 E FORT AVE # 204, BALTIMORE, MD 21230-5117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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