Organization Active NPI

Her Mind Her Body Clinical Associates

  • Community/Behavioral Health Agency
  • Windsor Mill, MD
National Provider Identifier
1861867178
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1765 Issued in MD
Legal business name
HER MIND HER BODY CLINICAL ASSOCIATES
Practice address
3104 Lord Baltimore Dr Ste 202
Windsor Mill, MD 21244-5802
Phone
(410) 298-4642
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Shanika La'Tia BurkeNPI 1114260262
Title
Coo
Phone
(443) 977-8879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1765 MD Primary

Addresses

Primary practice location

3104 Lord Baltimore Dr Ste 202
Windsor Mill, MD 21244-5802

Mailing address

3104 Lord Baltimore Dr Ste 202
Windsor Mill, MD 21244-5802
Phone (410) 298-4642

National Provider Directory

National Provider Directory
Tax ID family
Her Mind Her Body Clinical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10711 Red Run Blvd
Ste 112
Owings Mills, MD 21117
Phone (410) 298-4642

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1861867178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 LORD BALTIMORE DR STE 202",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212445802",
            "telephone_number": "410-298-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 LORD BALTIMORE DR STE 202",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212445802",
            "telephone_number": "410-298-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER MIND HER BODY CLINICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SHANIKA",
        "authorized_official_middle_name": "LA'TIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "443-977-8879"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.