Organization
PSYCHIATRIC GUIDANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FARIDY MAYA MOMBELEUR NP (PSYCHIATRIC NURSE PRACTITIONER)
(469) 445-6366
Entity
Organization
Contact information
Practice address
145 WILLOWDALE DR APT 34, FREDERICK, MD 21702-1168
(469) 445-0366
Mailing address
7820B WORKMANS MILL RD, SUITE 327, FREDERICK, MD 21701
(469) 445-6366
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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