Organization
E-PSYCHIATRIQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA LANETTE BROWN DNP, PMHNP, FNP-NC (OWNER)
(410) 929-6858
Entity
Organization
Contact information
Practice address
5004 HONEYGO CENTER DR STE 102-197, PERRY HALL, MD 21128-8963
(410) 929-6858
Mailing address
5004 HONEYGO CENTER DRIVE, SUITE 102 #197, PERRY HALL, MD 21128
(410) 929-6858
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119057101
—
MD
Enumeration date
02/28/2020
Last updated
01/17/2025
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