# EQUANIMITY INTEGRATED BEHAVIORAL HEALTH & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Equanimity: IBHW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013561976
- **Authorized official:** REGINALD E DEGRAFENREID II PMHNP-BC (OWNER/CEO)
- **Authorized official phone:** (410) 240-1162

## Contact information

- **Practice address:** 7500 HARFORD RD STE 1, PARKVILLE, MD 21234-6900
- **Practice address phone:** (410) 240-1162
- **Mailing address:** 7500 HARFORD RD STE 1, PARKVILLE, MD 21234-6900
- **Mailing address phone:** (410) 240-1162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2019
- **Last updated:** 07/21/2020