Provider Demographics
NPI:1922827567
Name:GUARDED MIND WELLNESS CENTER
Entity type:Organization
Organization Name:GUARDED MIND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIKAODI
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MBA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP-BC
Authorized Official - Phone:443-416-1226
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-0028
Mailing Address - Country:US
Mailing Address - Phone:443-416-1226
Mailing Address - Fax:
Practice Address - Street 1:6030 MOOREHEAD RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-1220
Practice Address - Country:US
Practice Address - Phone:443-416-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty