Organization
MINDFUL HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA VICTOR (CO-OWNER)
(410) 630-8292
Entity
Organization
Contact information
Practice address
9524 BELAIR RD, NOTTINGHAM, MD 21236-1544
(410) 630-8292
Mailing address
5004 HONEYGO CENTER DR STE 102-294, PERRY HALL, MD 21128-8963
(410) 630-8292
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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