1 Axium, LLC
Organization Active NPI Community/Behavioral Health Agency · Beltsville, MD
NPI 1346697208 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1346697208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- 1 AXIUM, LLC
- Practice address
- 4041 Powder Mill Rd Ste 300
Beltsville, MD 20705-3106 - Phone
- (202) 808-2878
- Fax
- (202) 506-2754
- NPI assigned
- May 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Gwendolyn Love Kimbrough, PHD
- Title
- Ceo
- Phone
- (202) 808-2878
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 1 Axium LLC
Locations
3420 9th St NE
Washington, DC 20017
3000 Connecticut Ave NW
Apt 321
Washington, DC 20008
Phone (202) 265-2343
10410 Kensington Pkwy
Ste 101
Kensington, MD 20895
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Behavior Analyst |
103K00000X | |||
| Clinical Psychologist |
103TC0700X | |||
| Group Psychotherapy Psychologist |
103TP2701X | |||
| Rehabilitation Psychologist |
103TR0400X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
4041 Powder Mill Rd Ste 300
Beltsville, MD 20705-3106
Mailing address
4041 Powder Mill Rd Ste 300
Beltsville, MD 20705-0004
Phone (202) 808-2878
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018287987 | Medicaid | DC |
Other names
- 1st Axium, LLC
Other providers in Beltsville, MD
- 1 Axium, LLC
- 3L Therapy Solutions, LLC
- A Balanced Perspective LLC
- A Balanced Perspective LLC
- A&M Financial LLC
All providers in Beltsville, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.