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Organization
NOVAMIND WELLNESS , LLC
Active
Organization
NOVAMIND WELLNESS , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ASHLEY DANTZLER (DIRECTOR)
(443) 979-4599
Entity
Organization
Contact information
Practice address
5602 BALTIMORE NATIONAL PIKE STE 300, BALTIMORE, MD 21228-1410
(443) 979-4599
Mailing address
4883 MELBOURNE RD, BALTIMORE, MD 21229-4432
(443) 979-4599
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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