Organization
RELEASE AND RENEW MENTAL WELLNESS CLINIC
Active
Other names
Release and Renew Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA POTTILLO APRN-PMH (OWNER)
(443) 745-8620
Entity
Organization
Contact information
Practice address
1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093-6011
(410) 376-8728
(410) 862-3774
Mailing address
1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093-6011
(410) 376-8728
(410) 862-3774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
07/19/2024
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