BODY MIND & SOUL FAMILY SERVICES, LLC
NPI 1508428541
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD

Q: What is Body Mind & Soul Family Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 30, 2019

1401 MADISON PARK DR STE 201, GLEN BURNIE, MD 21061(240) 620-6883 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jul 1, 2019 (2 updates tracked since 2019).

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About Body Mind & Soul Family Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BODY MIND & SOUL FAMILY SERVICES, LLC (NPI 1508428541) is a healthcare organization registered as a psychiatric/mental health in Glen Burnie, Maryland and active in the NPI registry since June 2019. The organization lists Bobbi Howard, Director, as its authorized official.

NPPES Registry Identity

NPI1508428541

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBODY MIND & SOUL FAMILY SERVICES, LLC

Location Address1401 MADISON PARK DR STE 201Glen Burnie, MD 21061-5881

Mailing Address1401 Madison Park Dr Ste 201Glen Burnie, MD 21061-5881 · (240) 620-6883

Phone(240) 620-6883

Organization SubpartNo

Authorized OfficialBobbi HowardDirector · (667) 325-7036

Enumeration DateJune 30, 2019

Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1508428541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1401 MADISON PARK DR STE 201, Glen Burnie, MD 21061

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Other Identifiers 1

Medicaid110595700MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESTHER OPEMIPO SHADARE DNP

Nurse Practitioner (Psychiatric/Mental Health)

1401 MADISON PARK DR STE 201
GLEN BURNIE, MD 21061

Anne Arundel County (410) 787-5704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Body Mind & Soul Family Services, LLC's NPI number?

The NPI number for Body Mind & Soul Family Services, LLC is 1508428541. It was assigned to this organization in the NPPES registry on June 30, 2019.

Where is Body Mind & Soul Family Services, LLC located?

Body Mind & Soul Family Services, LLC is located at 1401 Madison Park Dr Ste 201, Glen Burnie, MD 21061. The listed phone number is (240) 620-6883.

What is Body Mind & Soul Family Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Body Mind & Soul Family Services, LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.