# MOUNTAINVIEW MIND & MOOD LLC

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

## Provider details

- **NPI number:** 1417662438
- **Authorized official:** MR. GENNARO MARENGA CRNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (757) 478-7008

## Contact information

- **Practice address:** 712 GLENBROOK DR, MIDDLETOWN, MD 21769-7752
- **Practice address phone:** (757) 478-7008
- **Mailing address:** 712 GLENBROOK DR, MIDDLETOWN, MD 21769-7752

## 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:** 01/16/2023
- **Last updated:** 01/16/2023