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Organization

MINDFUL HAVEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTLE BROWN (BILLING MANAGER)
(410) 870-9380
Entity
Organization

Contact information

Practice address
9706 BELAIR RD # 101-102, NOTTINGHAM, MD 21236-1108
(410) 630-8292
Mailing address
5004 HONEYGO CENTER DR STE 102-294, PERRY HALL, MD 21128-8963
(410) 870-9380

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/09/2024
Last updated
08/15/2024
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