HER MIND HER BODY CLINICAL ASSOCIATES
NPI 1861867178
Community/Behavioral Health in Windsor Mill, MD

Active since December 11, 2015
3104 LORD BALTIMORE DR STE 202, WINDSOR MILL, MD 21244(410) 298-4642 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2026, Jul 12, 2023, Dec 11, 2015 (3 updates tracked since 2015).

  • Organization
  • Community/Behavioral Health

About HER MIND HER BODY CLINICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Her Mind Her Body Clinical Associates, a provider established in Windsor Mill, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1861867178 assigned on December 2015. The practitioner's primary taxonomy code is 251S00000X with license number 1765 (MD). The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Shanika La'tia Burke (Coo)

NPI
1861867178 Verify this NPI
Provider Name
HER MIND HER BODY CLINICAL ASSOCIATES
Entity Type
Organization
Location Address
3104 LORD BALTIMORE DR STE 202 WINDSOR MILL, MD 21244
Location Phone
(410) 298-4642
Mailing Address
3104 LORD BALTIMORE DR STE 202 WINDSOR MILL, MD 21244
Mailing Phone
(410) 298-4642
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2015
Last Update Date
03-06-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
1765
License State
MD
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANIKA LA'TIA BURKE

Authorized Official Title
COO
Authorized Official Phone
(443) 977-8879

Reviews for HER MIND HER BODY CLINICAL ASSOCIATES

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3104 LORD BALTIMORE DR STE 202
WINDSOR MILL, MD 21244
Community/Behavioral Health
3104 LORD BALTIMORE DR STE 202
WINDSOR MILL, MD 21244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861867178, enumerated as an "organization" on December 11, 2015.

The provider is located at 3104 LORD BALTIMORE DR STE 202 WINDSOR MILL, MD 21244 and the phone number is (410) 298-4642.

Community/Behavioral Health with taxonomy code 251S00000X.