Healthcare Provider Details

I. General information

NPI: 1770409278
Provider Name (Legal Business Name): THE FOCUS AND MIND LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 ALLEGHENY AVE STE 1301
TOWSON MD
21204-3940
US

IV. Provider business mailing address

29 ALLEGHENY AVE STE 1301
TOWSON MD
21204-3940
US

V. Phone/Fax

Practice location:
  • Phone: 667-245-9920
  • Fax: 866-527-5572
Mailing address:
  • Phone: 667-245-9920
  • Fax: 866-527-5572

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: MS. AMY J O'NEILL
Title or Position: CO-FOUNDER
Credential: CRNP-PMH
Phone: 667-245-9920