# OPTIMAL PSYCHIATRY AND WELLNESS

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

## Provider details

- **NPI number:** 1295379121
- **Authorized official:** FABIUS SANTOS (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (410) 505-7952

## Contact information

- **Practice address:** 8019 CORPORATE DR STE C, NOTTINGHAM, MD 21236-4917
- **Practice address phone:** (410) 505-7952
- **Practice address fax:** (410) 701-3845
- **Mailing address:** 8019 CORPORATE DR STE C, NOTTINGHAM, MD 21236-4917
- **Mailing address phone:** (410) 505-7952
- **Mailing address fax:** (410) 701-3845

## 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:** 11/04/2019
- **Last updated:** 11/12/2025
