| Organization Name: | BASICS GROUP PRACTICE, LLC |
| NPI Number: | 1134486079 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL N FEREBEE (CEO) |
| Mailing Address: | 7610 Pennsylvania Ave Suite #203 Forestville |
| State: | MD US |
| Postal Code: | 207474701 |
| Phone Number: | 3014201972 |
| Fax Number: | 3014201973 |
| NPI Enumeration Date: | 04/17/2012 |
| NPI Last Update Date: | 04/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 04481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |