<Unavail>

LBN: 1 Axium, Llc
<Unavail> is an health care organization with primary practice located at 4041 Powder Mill Rd Ste 300 , Beltsville MD 20705-3106. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care. Agencies / Community/Behavioral Health is the primary health care specialty. 1 Axium, Llc can be contacted via phone (202) 808-2878, or through Kimbrough, Gwendolyn Love via phone (202) 808-2878.

Contact Information

Primary practice address
4041 Powder Mill Rd Ste 300 Beltsville MD 20705-3106
Phone: (202) 808-2878
Fax: (202) 506-2754
Website:
Map and Directions
Authorized official contact:
Name: Kimbrough, Gwendolyn Love PHD
Phone: (202) 808-2878

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1346697208
LBN Legal business name 1 Axium, Llc
DBA Doing business as <Unavail>
Authorized official Kimbrough, Gwendolyn Love PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2016
Last updated Nov 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346697208 NPPES
District of Columbia MEDICAID 018287987

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