Organization · Type 2 NPI

Equilibrum Behavioral Health &t Elepsych

Nurse Practitioner · Owings Mills, MD

NPI number 1104774736 Active

Practice location

2307 Shaded Brook Dr
Owings Mills, MD 21117-2349

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104774736

Equilibrum Behavioral Health &t Elepsych's National Provider Identifier is 1104774736, issued on Mar 19, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Owings Mills, MD. The record was last updated on Jun 17, 2026.