# FAIRMIND BEHAVIORAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1346190238
- **Authorized official:** VALENCIA FAIRLEY CRNP-PMH (PMHNP)
- **Authorized official phone:** (443) 457-8339

## Contact information

- **Practice address:** 4602 JOHN ST, SUITLAND, MD 20746-3771
- **Practice address phone:** (443) 457-8339
- **Practice address fax:** (410) 907-3189
- **Mailing address:** 4602 JOHN ST, SUITLAND, MD 20746-3771
- **Mailing address phone:** (443) 457-8339
- **Mailing address fax:** (410) 907-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2026
- **Last updated:** 01/30/2026