Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mentally Evolved LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1215841804

Mentally Evolved LLC provides Psychiatric/Mental Health Nurse Practitioner services in Towson, Maryland. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 W Rd Ste 300
Towson, MD 21204-2370
Phone: (410) 832-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1215841804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyies Goines — Crnp-Pmh · (443) 939-4422
NPI enumeratedSeptember 30, 2026
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 27, 2026
Mailing address100 West Rd Ste 300, Pmb 17673455, Towson, MD 21204-2370

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