Organization
COHERENCE MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENE O IMUZE NP (OWNER OF ENTITY)
(667) 450-8376
Entity
Organization
Contact information
Practice address
336 S MAIN ST STE 2B-A, BEL AIR, MD 21014-3978
(667) 450-8376
Mailing address
336 S MAIN ST STE 2B-A, BEL AIR, MD 21014-3978
(667) 450-8376
(667) 218-3613
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
11/18/2025
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