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Contact Information

BEYOND DYNAMIC POTENTIAL LLC
15230 REGINA DR
BRANDYWINE, MD20613-4225
 Phone: 240-844-2441
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for BEYOND DYNAMIC POTENTIAL LLC

NPI # 1184365462
LBN Legal business name BEYOND DYNAMIC POTENTIAL LLC
Authorized official STEPHANIE BROWN-GILBERT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2022
Last updated 04/02/2022 - About 4 years ago
Identifiers
MD Medicaid 212130100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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