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Organization
MARYLAND WELLNESS AND PSYCHIATRY LLC
Active
Organization
MARYLAND WELLNESS AND PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE CONDA (BILLING MANAGER)
(410) 927-3510
Entity
Organization
Contact information
Practice address
915 TOLL HOUSE AVE STE 209, FREDERICK, MD 21701-5901
(410) 888-0731
Mailing address
2717 FRIENDSHIP FARM CT, WEST FRIENDSHIP, MD 21794-9310
(410) 888-0731
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
05/21/2025
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