Provider Demographics
NPI:1164018842
Name:MENTAL HEALTH FIRST, LLC
Entity Type:Organization
Organization Name:MENTAL HEALTH FIRST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:443-900-7181
Mailing Address - Street 1:5457 TWIN KNOLLS RD
Mailing Address - Street 2:STE 300 #1048
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3296
Mailing Address - Country:US
Mailing Address - Phone:410-424-7262
Mailing Address - Fax:855-743-0059
Practice Address - Street 1:5457 TWIN KNOLLS ROAD
Practice Address - Street 2:SUITE 300 #1048
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3414
Practice Address - Country:US
Practice Address - Phone:410-424-7262
Practice Address - Fax:855-743-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty