# ANGEL OAK PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114783792
- **Authorized official:** DR. LETITIA BOLDS MD (PHYSICIAN)
- **Authorized official phone:** (301) 941-7635

## Contact information

- **Practice address:** 6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
- **Practice address phone:** (301) 941-7635
- **Mailing address:** 6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
- **Mailing address phone:** (301) 941-7635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 02/22/2024
