| Organization Name: | BASICS GROUP PRACTICE LLC |
| NPI Number: | 1235444738 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL NEGUSSIE FEREBEE (THERAPIST/OWNER) |
| Mailing Address: | 7610 Pennsylvania Ave 103 Forestville |
| State: | MD US |
| Postal Code: | 207474701 |
| Phone Number: | 4432540966 |
| Fax Number: | 3014235359 |
| NPI Enumeration Date: | 08/10/2010 |
| NPI Last Update Date: | 08/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 15032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |