# PSYCHIATRIC GUIDANCE LLC

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

## Provider details

- **NPI number:** 1740949361
- **Authorized official:** MS. FARIDY MAYA MOMBELEUR NP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (469) 445-6366

## Contact information

- **Practice address:** 145 WILLOWDALE DR APT 34, FREDERICK, MD 21702-1168
- **Practice address phone:** (469) 445-0366
- **Mailing address:** 7820B WORKMANS MILL RD, SUITE 327, FREDERICK, MD 21701
- **Mailing address phone:** (469) 445-6366

## 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:** 12/10/2021
- **Last updated:** 12/10/2021