Provider Demographics
NPI:1487183083
Name:AT YOUR BEST BEHAVIORAL HEALTH GROUP LLC
Entity Type:Organization
Organization Name:AT YOUR BEST BEHAVIORAL HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ODELIA
Authorized Official - Middle Name:BARIKA
Authorized Official - Last Name:MUIR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C; LICSW
Authorized Official - Phone:202-489-2066
Mailing Address - Street 1:1704 ASHBURTON ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-3535
Mailing Address - Country:US
Mailing Address - Phone:202-489-2066
Mailing Address - Fax:
Practice Address - Street 1:1704 ASHBURTON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3535
Practice Address - Country:US
Practice Address - Phone:202-489-2066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5466101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
MD19640101YA0400X, 101YM0800X, 101YP2500X, 1041C0700X, 106H00000X
MDLGP6351101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1275898751Medicaid
MD1760865091Medicaid
MD1174969992Medicaid