Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Restored Radiance Integrative Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1215871884

Restored Radiance Integrative Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Cockeysville, 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

111 Warren Rd Ste 12A
Cockeysville, MD 21030-2453
Phone: (443) 353-9393
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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 number1215871884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Pate — Owner · (443) 353-9393
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address111 Warren Rd Ste 12a, Cockeysville, MD 21030-2453

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