# SUPPORTIVE MINDS MENTAL HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1609781640
- **Authorized official:** HURLERE VIRGINE NDJOUSSI PMHNP (PMHNP)
- **Authorized official phone:** (240) 437-2133

## Contact information

- **Practice address:** 19650 CLUB HOUSE RD STE 202-A, MONTGOMERY VILLAGE, MD 20886-3003
- **Practice address phone:** (202) 740-4111
- **Mailing address:** 11273 SUFFOLK DR, HAGERSTOWN, MD 21742-4054
- **Mailing address phone:** (240) 437-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2026
- **Last updated:** 09/16/2026