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Revered-holistic Healthcare Llc
Psychiatric/Mental Health Nurse Practitioner in Towson, Maryland
NPI 1205525334

Revered-holistic Healthcare Llc is a Psychiatric/Mental Health Nurse Practitioner based in Owings Mills, MD and is specialized in Psychiatric/Mental Health. Revered-holistic Healthcare Llc practices in Towson, MD. The NPI Number for Revered-holistic Healthcare Llc is 1205525334 and holds a License No. (Maryland).

The current practice location address for Revered-holistic Healthcare Llc is 1045 Taylor Ave Ste 44A, Towson, MD and can be reached out via phone at 410-399-4240 and via fax at 443-381-0216.

Location: 1045 Taylor Ave Ste 44A, Towson, MD, 21117-6156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205525334
Provider Name
Revered-holistic Healthcare Llc
Credential
Provider Entity Type
Organization
Address
1045 Taylor Ave Ste 44A, Towson, MD, 21117-6156
Phone Number
410-399-4240
Fax Number
443-381-0216
Provider Enumeration Date
05/04/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1045 Taylor Ave Ste 44A
City
Towson
State
Maryland
Zip
21286-8328
Phone Number
410-399-4240
Fax Number
443-381-0216
person
Provider Business Mailing Address Details
Address
1045 Taylor Ave Ste 44A
City
Towson
State
Maryland
Zip
21286-8328
Phone Number
410-399-4240
Fax Number
443-381-0216
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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