Organization
FAIRMIND BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA FAIRLEY CRNP-PMH (PMHNP)
(443) 457-8339
Entity
Organization
Contact information
Practice address
4602 JOHN ST, SUITLAND, MD 20746-3771
(443) 457-8339
(410) 907-3189
Mailing address
4602 JOHN ST, SUITLAND, MD 20746-3771
(443) 457-8339
(410) 907-3189
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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