HER MIND HER BODY WELLNESS PROGRAM NPI 1508297292

NPI Information

  • NPI: 1508297292
  • Provider Name: HER MIND HER BODY WELLNESS PROGRAM
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 3104 LORD BALTIMORE DR STE 202
    WINDSOR MILL, MD
    ZIP 21244
  • Phone: (410) 298-4642

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NPI Details

HER MIND HER BODY WELLNESS PROGRAM is a community behavioral health in Windsor Mill, MD. The provider is 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. HER MIND HER BODY WELLNESS PROGRAM NPI is 1508297292. The provider is registered as an organization entity type.

The provider's business location address is:

3104 LORD BALTIMORE DR STE 202
WINDSOR MILL, MD
ZIP 21244-802
Phone: (410) 298-4642

The provider's authorized official is Shanika La'tia Burke .
The authorized official title is Coo and has the following contact phone number (443) 977-8879.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 3/6/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2251S00000XCommunity/Behavioral HealthMARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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