Organization
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Active
Parent organization
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Authorized official
ERIKA HEAVNER (MANAGER)
(410) 508-0722
Entity
Organization
Contact information
Practice address
1101 N POINT BLVD STE 131, BALTIMORE, MD 21224-3417
(410) 508-0722
(410) 834-1851
Mailing address
11560 CROSSROADS CIR STE 102, MIDDLE RIVER, MD 21220-2885
(410) 508-0722
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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