Organization · Type 2 NPI
Immaculate Behavioral Healthcare Services LLC
Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD
NPI number
1174319495
Active
Practice location
2255 Crain Hwy Ste 205
Waldorf, MD 20601-3190
Mailing address
10612 Cheryl Turn
Waldorf, MD 20603-6914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1174319495
Immaculate Behavioral Healthcare Services LLC's National Provider Identifier is 1174319495, issued on Apr 15, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waldorf, MD. The record was last updated on Sep 3, 2025.