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General NPI Number Information
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NPI Number | 1780526194
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Entity Type | Organization
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Legal Business Name | RISE & RESTORE MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 1055 TAYLOR AVE STE 214
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City | TOWSON
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State | MD
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Zip | 21286-8317
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Country | US
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Telephone | 443-374-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 LYON HEART DR APT C
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City | OWINGS MILLS
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State | MD
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Zip | 21117-6611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH NURSE PRACTITIONER
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Name | MS. OCTAVIA TOINETTE COIT
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Credential | MHNP-BC
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Telephone | 443-374-7110
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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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