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Organization
PEACEFUL MIND BEHAVIORAL HEALTH LLC
Active
Organization
PEACEFUL MIND BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMUTHA DANIEL CRNP-PMH (MANAGING MEMBER)
(240) 507-0015
Entity
Organization
Contact information
Practice address
12907 NORTHAMPTON DR, BELTSVILLE, MD 20705-6333
(240) 507-0015
Mailing address
12907 NORTHAMPTON DR, BELTSVILLE, MD 20705-6333
(240) 507-0015
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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