# CANNAKUSH CONSULTING OFFICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KeyeWellness Treatment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891688529
- **Authorized official:** BETSY WHITE CRNP (OWNER)
- **Authorized official phone:** (443) 414-5619

## Contact information

- **Practice address:** 5411 OLD FREDERICK RD STE 18, BALTIMORE, MD 21229-2126
- **Practice address phone:** (443) 750-0222
- **Practice address fax:** (443) 750-0222
- **Mailing address:** 5411 OLD FREDERICK RD STE 18, BALTIMORE, MD 21229-2126
- **Mailing address phone:** (443) 750-0222
- **Mailing address fax:** (443) 750-0222

## 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:** 06/02/2025
- **Last updated:** 06/02/2025
