Mavis Kisseadoo
PMHNP | Nurse Practitioner - Psych/Mental Health
10208 Hickory Ridge Rd Apt 302, Columbia
Maryland, 21044-4688
667-200-6144
Mavis Kisseadoo is a Columbia, Maryland based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mavis Kisseadoo is R205356 for Psych/Mental Health in Maryland. Her current practice location is 10208 Hickory Ridge Rd Apt 302, Columbia. Patients can reach her at 667-200-6144. Mavis Kisseadoo is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1366081887.
Mavis Kisseadoo provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mavis Kisseadoo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mavis Kisseadoo |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Practice Address: | 10208 Hickory Ridge Rd Apt 302, Columbia,
Maryland, 21044-4688 |
| Phone: | 667-200-6144 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1366081887 |
| NPI Enumeration Date: | 01 Jan, 2020 |
| NPI Last Update On: | 01 Jan, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mavis Kisseadoo are as mentioned below.
| License Number | Specialization | State | Status | |
| R205356 | Psych/Mental Health | Maryland | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mavis Kisseadoo
10208 Hickory Ridge Rd Apt 302,
Columbia, Maryland |
| Zip: | 21044-4688 |
| Phone Number: | 667-200-6144 |
Patients can reach Mavis Kisseadoo at
10208 Hickory Ridge Rd Apt 302, Columbia, Maryland or can
call to book an appointment on 667-200-6144.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.