| NPI | 1154955011 |
|---|---|
| Former Legal Business Name | E-PSYCHIATRIQ LLC, TELEHEALTH |
| Entity Type | Organization |
| Authorized Contact | LISA LANETTE BROWN Owner 410-929-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2021-12-21 |