Healthcare Provider Details

I. General information

NPI: 1194675629
Provider Name (Legal Business Name): PSYMPLE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 LATIA CT
MIDDLE RIVER MD
21220-1265
US

IV. Provider business mailing address

9 LATIA CT
MIDDLE RIVER MD
21220-1265
US

V. Phone/Fax

Practice location:
  • Phone: 864-482-1919
  • Fax: 667-256-8273
Mailing address:
  • Phone: 864-482-1919
  • Fax: 667-256-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE MARIE ROBINSON
Title or Position: CEO/PRESIDENT
Credential: DNP, APRN, PMHNP-BC
Phone: 864-482-1919