Her Mind Her Body, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HER MIND HER BODY, LLC

Practice address

10711 Red Run Blvd Ste 112
Owings Mills, MD 21117-5138

Phone

(202) 250-4393

NPI assigned

Mar 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lachrisia Lorraine Matthews, LCPC

Title

Therapist

Phone

(202) 250-4393

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1376299149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD STE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "202-250-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD STE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "202-250-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER MIND HER BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "LACHRISIA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "202-250-4393",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055839700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.