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General NPI Number Information
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NPI Number | 1164368650
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Entity Type | Organization
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Legal Business Name | YOUR MIND MATTERS PSYCHIATRY & WELLNESS
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 4 CHUDLEIGH CT
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City | PIKESVILLE
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State | MD
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Zip | 21208-6400
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Country | US
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Telephone | 443-226-0418
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Fax | 443-226-0418
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Provider Business Mailing Address
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Address Line | 4 CHUDLEIGH CT
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City | PIKESVILLE
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State | MD
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Zip | 21208-6400
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Country | US
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Telephone | 443-226-0418
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Fax | 443-226-0418
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | KIM NICKOLE GRADY
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Credential | PMHNP
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Telephone | 443-226-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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