# MINDFULBALANCED PSYCHIATRIC LLC

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

## Provider details

- **NPI number:** 1932926102
- **Authorized official:** ADANNA IKWUEGBU (OWNER)
- **Authorized official phone:** (443) 449-3941

## Contact information

- **Practice address:** 10711 RED RUN BLVD STE 101, OWINGS MILLS, MD 21117-5138
- **Practice address phone:** (443) 264-1250
- **Practice address fax:** (855) 613-0989
- **Mailing address:** 9722 GROFFS MILL DR STE 1040, OWINGS MILLS, MD 21117-6341
- **Mailing address phone:** (443) 449-3941

## 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:** 09/20/2024
- **Last updated:** 07/01/2025