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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MENTALLY EVOLVED LLC
NPI 1215841804
Nurse Practitioner - Psychiatric/Mental Health in Towson, MD

Active since September 30, 2026
100 WEST RD STE 300, TOWSON, MD 21204(410) 832-7000 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mentally Evolved Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENTALLY EVOLVED LLC (NPI 1215841804) is a healthcare organization registered as a psychiatric/mental health in Towson, Maryland and active in the NPI registry since September 2026. The organization lists Tyies Alexander Goines, Crnp-pmh, as its authorized official.

NPPES Registry Identity

NPI1215841804
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMENTALLY EVOLVED LLC
Location Address100 WEST RD STE 300Towson, MD 21204-2370
Mailing Address100 West Rd Ste 300, Pmb 17673455Towson, MD 21204-2370 · (443) 939-4422
Phone(410) 832-7000
Organization SubpartNo
Authorized OfficialTyies Alexander GoinesCrnp-pmh · (443) 939-4422
Enumeration DateSeptember 30, 2026
NPPES CertifiedSeptember 27, 2026
✔ NPI 1215841804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
100 WEST RD STE 300, Towson, MD 21204
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA DEBORAH PRETTER
Behavior Technician
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (410) 886-7493
HALF MOON COUNSELING SERVICES LLC
Counselor (Mental Health)
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (443) 330-2130
HELPING HANDS CARE AGENCY
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (443) 310-3033
ROYAL WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (410) 801-7822
SHEDANA N ESDAILE LCSW-C
Social Worker (Clinical)
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (443) 895-1095
TRANSCEND THERAPY LLC
Physical Medicine & Rehabilitation
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (443) 226-0703
REGENWELL WOUND SPECIALTY GROUP - CENTRAL MD, LLC
Family Medicine
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (240) 203-7988
JACLYN J KENNEY
Behavior Technician
100 WEST RD STE 300
TOWSON, MD 21204
Baltimore County (231) 938-6309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mentally Evolved LLC's NPI number?

The NPI number for Mentally Evolved LLC is 1215841804. It was assigned to this organization in the NPPES registry on September 30, 2026.

Where is Mentally Evolved LLC located?

Mentally Evolved LLC is located at 100 West Rd Ste 300, Towson, MD 21204. The listed phone number is (410) 832-7000.

What is Mentally Evolved LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mentally Evolved LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.