Provider Demographics
NPI:1962374934
Name:RONEST MINDSPRING PSYCHIATRY AND WELLNESS CLINIC LLC
Entity type:Organization
Organization Name:RONEST MINDSPRING PSYCHIATRY AND WELLNESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDUKE
Authorized Official - Middle Name:ROLINE
Authorized Official - Last Name:MELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-898-6226
Mailing Address - Street 1:15617 NORUS ST UPPR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-8254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 CATHEDRAL ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2702
Practice Address - Country:US
Practice Address - Phone:240-898-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty