# NIRVANA MENTAL HEALTHCARE SERVICES INC

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

## Provider details

- **NPI number:** 1639690159
- **Authorized official:** AYANNA WILLIAMS CNP (OWNER)
- **Authorized official phone:** (844) 779-2437

## Contact information

- **Practice address:** 120 WATERFRONT ST STE 420, NATIONAL HARBOR, MD 20745-1122
- **Practice address phone:** (240) 647-8262
- **Practice address fax:** (575) 636-2591
- **Mailing address:** PO BOX 8244, ROSWELL, NM 88202-8244
- **Mailing address phone:** (575) 624-2095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | CNP-03247 | NM | Yes |

## Other

- **Enumeration date:** 07/06/2017
- **Last updated:** 07/25/2025