# PSYCHNP WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1184042004
- **Authorized official:** MS. TERI A MURTHA PMHNP,CNS-BC (OWNER)
- **Authorized official phone:** (410) 321-1388

## Contact information

- **Practice address:** 658 KENILWORTH DRIVE, SUITE 206, TOWSON, MD 21204
- **Practice address phone:** (410) 321-1388
- **Practice address fax:** (410) 321-9314
- **Mailing address:** 658 KENILWORTH DRIVE, SUITE 206, TOWSON, MD 21204
- **Mailing address phone:** (410) 321-1388
- **Mailing address fax:** (410) 321-9314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R114531 | MD | Yes |

## Other

- **Enumeration date:** 03/29/2014
- **Last updated:** 03/29/2014