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Organization
MINDFULBALANCED PSYCHIATRIC LLC
Active
Organization
MINDFULBALANCED PSYCHIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADANNA IKWUEGBU (OWNER)
(443) 449-3941
Entity
Organization
Contact information
Practice address
10711 RED RUN BLVD STE 101, OWINGS MILLS, MD 21117-5138
(443) 264-1250
(855) 613-0989
Mailing address
9722 GROFFS MILL DR STE 1040, OWINGS MILLS, MD 21117-6341
(443) 449-3941
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
09/20/2024
Last updated
07/01/2025
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