Provider Demographics
NPI:1376309310
Name:SLEEP IN MIND LLC
Entity type:Organization
Organization Name:SLEEP IN MIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-316-4800
Mailing Address - Street 1:4835 CORDELL AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3172
Mailing Address - Country:US
Mailing Address - Phone:240-316-4800
Mailing Address - Fax:240-316-4897
Practice Address - Street 1:4835 CORDELL AVE STE 4814
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3147
Practice Address - Country:US
Practice Address - Phone:914-255-7490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty