# CHOSEN THERAPEUTIC SERVICES

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

## Provider details

- **NPI number:** 1295443349
- **Authorized official:** TYWANNA HAMILTON NP (OWNER)
- **Authorized official phone:** (443) 819-0495

## Contact information

- **Practice address:** 124 SLADE AVE STE 102, PIKESVILLE, MD 21208-4900
- **Practice address phone:** (443) 819-0495
- **Practice address fax:** (443) 546-9527
- **Mailing address:** 9091 SNOWDEN RIVER PKWY \# 1188, COLUMBIA, MD 21046-1657
- **Mailing address phone:** (443) 819-0495
- **Mailing address fax:** (443) 546-9527

## 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:** 11/08/2022
- **Last updated:** 11/08/2022