Organization
HEAL (HOLISTIC HEALING PSYCHIATRY) LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDEMAH JOSEPH-FAGBUYI (PSYCHIATRIC NURSE PRACTITIONER)
(860) 518-7454
Entity
Organization
Contact information
Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(301) 798-9931
Mailing address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(301) 798-9931
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
07/05/2023
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