# MARTIN'S TELEMEDICINE AND MENTAL HEALTH PC

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

## Provider details

- **NPI number:** 1306727821
- **Authorized official:** PETREL D MARTIN-HALL CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (443) 800-6481

## Contact information

- **Practice address:** 15 LUFFING CT, ESSEX, MD 21221-2934
- **Practice address phone:** (443) 800-6481
- **Mailing address:** 15 LUFFING CT, ESSEX, MD 21221-2934
- **Mailing address phone:** (443) 800-6481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | NULL | — |
| 103TP0016X | Prescribing (Medical) Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 09/10/2025
- **Last updated:** 08/02/2026