Healthcare Provider Details

I. General information

NPI: 1174746812
Provider Name (Legal Business Name): BCS LAURIE MINDEK RN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 MICHELLVILLE ROAD #212
BOWIE MD
20716
US

IV. Provider business mailing address

3060 MICHELLVILLE ROAD #212
BOWIE MD
20716
US

V. Phone/Fax

Practice location:
  • Phone: 301-218-5492
  • Fax: 301-218-9514
Mailing address:
  • Phone: 301-218-5492
  • Fax: 301-218-9514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. LAURIE HOPE MINDEK
Title or Position: OWNER COUNSELOR
Credential:
Phone: 301-218-5492