Organization
TRACEY ELIZALDE FNP-BC PMHNP-BC LLC
Active
Other names
Open Door Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ELIZALDE FNP-BC PMHNP-BC (OWNER)
(240) 439-5928
Entity
Organization
Contact information
Practice address
812 TOLL HOUSE AVE, FREDERICK, MD 21701-4519
(240) 439-5928
Mailing address
PO BOX 3072, FREDERICK, MD 21705-3072
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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