MEDICARE: AXIS BEHAVIORAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1366160186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIS BEHAVIORAL CENTER

Provider Business Mailing Address
First Line	:	8101 SANDY SPRING RD STE 110
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3596
Country	:	US
Telephone Number	:	443-799-4045
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 LANDOVER RD STE 3-4
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1143
Country	:	US
Telephone Number	:	443-934-9600
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KIMBERLY HEMBY
Credential	:
Telephone Number	:	443-799-4045

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	01/12/2026

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Directions to “AXIS BEHAVIORAL CENTER ” Practice Location

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