Active Mindz, Llc.
NPI #1164138285 in Owings Mills, Maryland
Provider Information
- NPI Number
- 1164138285
- Entity Type
- Organization
- Organization Name
- Active Mindz, Llc.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 24, 2023
- Last Updated
- Jan 24, 2023
Practice Location
- Address
- 205 RIVER WAY COURT
- Address 2
- APT. 202
- City
- Owings Mills
- State
- Maryland
- ZIP Code
- 21117
- Phone
- (410) 967-6873
Authorized Official
- Name
- MR. BRIAN WILSON, LCSW-C
- Title
- CLINICAL THERAPIST
- Phone
- (410) 967-6873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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