MY MENTAL WELLNESS (NPI# 1245528470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245528470 |
| Entity Type | Organization |
| Organization Name | MY MENTAL WELLNESS |
| Practice Address |
807 Johnson Grove Ln Bowie MD 20721-6220 |
| Practice Telephone | 3016425133 |
| Practice Fax Number | 3014305134 |
| Mailing Telephone | 3016425133 |
| Mailing Fax Number | 3014305134 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | MS. NORMA FAYE HUISWOUD (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3016425133 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC2311 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 418005400 | 05 |
| Street Address |
807 JOHNSON GROVE LN |
| City | BOWIE |
| State | MD |
| Zip Code | 20721-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789142 | Tiffany Johnon | Counselor | 16703 Governor Bridge Rd Apt 203, Bowie, MD 20716-3678 | 2020-08-09 |
| 1669025276 | Philip Ngu Ngundam | Counselor | 14302 Pleasant View Dr, Bowie, MD 20720-4809 | 2019-07-23 |
| 1538630967 | Chontelai Patterson Mendie | Counselor | 15602 Everglade Ln Apt 303, Bowie, MD 20716-3245 | 2018-12-11 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1336678911 | Francesca Alexis Montgomery | Counselor | 14008 Heatherstone Dr, Bowie, MD 20720-4830 | 2017-06-07 |
| 1720459340 | Lindsay Jimmink | Counselor | 2709 Federal Ln, Bowie, MD 20715-2310 | 2015-10-08 |
| 1073906640 | Shatoni Hill | Counselor | 10313 Westridge Dr, Bowie, MD 20721-2935 | 2015-03-06 |
| 1861899676 | Sade Marie Crawford | Counselor | 908 Hall Station Dr, 204, Bowie, MD 20721 | 2014-11-21 |
| Find all providers in BOWIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.