Organization
CHOSEN THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYWANNA HAMILTON NP (OWNER)
(443) 819-0495
Entity
Organization
Contact information
Practice address
124 SLADE AVE STE 102, PIKESVILLE, MD 21208-4900
(443) 819-0495
(443) 546-9527
Mailing address
9091 SNOWDEN RIVER PKWY # 1188, COLUMBIA, MD 21046-1657
(443) 819-0495
(443) 546-9527
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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