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General NPI Number Information
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NPI Number | 1255195152
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Entity Type | Organization
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Legal Business Name | MENTAL WEALTH PSYCHIATRIC SERVICES, INC.
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 09/28/2024
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Provider Practice Location Address
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Address Line | 501 E NAYLOR MILL RD UNIT C
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City | SALISBURY
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State | MD
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Zip | 21804-2278
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Country | US
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Telephone | 443-345-2275
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Fax | 443-300-9504
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Provider Business Mailing Address
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Address Line | 1910 TOWNE CENTRE BLVD STE 250
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3599
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Country | US
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Telephone | 443-345-2275
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SIANA BROWN
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Credential | CRNP-PMH
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Telephone | 443-345-2275
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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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