# FREE STATE MENTAL HEALTH & WELLNESS LLC

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

## Provider details

- **NPI number:** 1770311789
- **Authorized official:** JENNIFER SUNDAY (OFFICE MANAGER)
- **Authorized official phone:** (301) 788-2427

## Contact information

- **Practice address:** 9608 BELAIR RD \# 3, NOTTINGHAM, MD 21236-1101
- **Practice address phone:** (240) 647-9049
- **Mailing address:** 365 W PATRICK ST FL 205, FREDERICK, MD 21701-5093
- **Mailing address phone:** (240) 647-9049

## 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:** 07/22/2024
- **Last updated:** 07/22/2024