Organization
MAHOGANY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE HARRISON CRNP, PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(443) 743-7777
Entity
Organization
Contact information
Practice address
3108 BAYONNE AVE, BALTIMORE, MD 21214-2323
(443) 743-7777
Mailing address
9613 HARFORD RD STE C, BALTIMORE, MD 21234-2150
(443) 743-7777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
04/12/2024
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