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Organization
WISE MIND BEHAVIORAL HEALTH
Active
Organization
WISE MIND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GOODWIN LCPC (OWNER)
(240) 608-2307
Entity
Organization
Contact information
Practice address
176 THOMAS JOHNSON DR STE 204, FREDERICK, MD 21702-4538
(240) 608-2307
Mailing address
176 THOMAS JOHNSON DR, FREDERICK, MD 21702-4410
(240) 608-2307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/14/2023
Last updated
12/28/2025
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