Provider Demographics
NPI:1528226099
Name:BODYMINDHEALTH
Entity Type:Organization
Organization Name:BODYMINDHEALTH
Other - Org Name:MARIA DEL PILAR VALENCIA, M.AC., L.AC.
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE PROPRIETOR/ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DEL PILAR
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MAC, LAC
Authorized Official - Phone:240-994-2483
Mailing Address - Street 1:15540 PEACH LEAF LN
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2343
Mailing Address - Country:US
Mailing Address - Phone:240-994-2483
Mailing Address - Fax:301-424-0441
Practice Address - Street 1:226 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1891
Practice Address - Country:US
Practice Address - Phone:240-994-2483
Practice Address - Fax:301-424-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01313261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service