Organization · Type 2 NPI
A Glorious Place LLC
Psychiatric/Mental Health Nurse Practitioner · Ellicott City, MD
NPI number
1043952880
Active
Practice location
3203A Corporate Ct
Ellicott City, MD 21042-2247
Other practice locations
- 1629 K St NW Ste 300, Washington, DC 20006-1631 · (410) 696-2645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043952880
A Glorious Place LLC's National Provider Identifier is 1043952880, issued on Apr 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ellicott City, MD. The record was last updated on Feb 21, 2025.