| 1 Axium, Llc | |
|
4041 Powder Mill Rd Ste 300 Beltsville MD 20705-0004 | |
| (202) 808-2878 | |
| (202) 292-4141 |
| Full Name | 1 Axium, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4041 Powder Mill Rd Ste 300, Beltsville, Maryland |
| Authorized Official Name and Position | Gwendolyn Love Kimbrough (CEO) |
| Authorized Official Contact | 2028082878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Axium, Llc 4041 Powder Mill Rd Ste 300 Beltsville MD 20705-0004 Ph: (202) 808-2878 | 1 Axium, Llc 4041 Powder Mill Rd Ste 300 Beltsville MD 20705-0004 Ph: (202) 808-2878 |
| NPI Number | 1619779048 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619779048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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