Organization
HEALING MIND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYWANNA D HAMILTON CRNP (MEDICAL DIRECTOR)
(443) 550-4325
Entity
Organization
Contact information
Practice address
1100 MERCANTILE LN STE 136, LARGO, MD 20774-5367
(443) 550-4325
Mailing address
124 SLADE AVE STE 101, PIKESVILLE, MD 21208-4900
(410) 855-4448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/13/2021
Last updated
12/14/2022
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