# OPTIMAL MENTAL HEALTH GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851038632
- **Authorized official:** KIMBERLY WHITE CRNP-PMH-BC (MEDICAL DIRECTOR.)
- **Authorized official phone:** (443) 801-2233

## Contact information

- **Practice address:** 1800 N CHARLES ST STE 406, BALTIMORE, MD 21201-5909
- **Practice address phone:** (443) 801-2233
- **Mailing address:** 2157 STREAMWAY CT, GWYNN OAK, MD 21207-6093
- **Mailing address phone:** (443) 801-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2022
- **Last updated:** 05/20/2022