Organization
MINDSITE HEALTH LLC
Active
Other names
Mindsite Health
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA LYNN NWOUS DNP, CRNP-PMH (MEDICAL DIRECTOR)
(443) 230-4050
Entity
Organization
Contact information
Practice address
6755 BUSINESS PKWY STE 109, ELKRIDGE, MD 21075-6856
(443) 230-4050
(609) 710-1599
Mailing address
6755 BUSINESS PKWY STE 109, ELKRIDGE, MD 21075-6856
(443) 230-4050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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