Provider Demographics
NPI:1497522338
Name:WELL OF HOPE MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:WELL OF HOPE MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:YETUNDE
Authorized Official - Middle Name:REMILEKUN
Authorized Official - Last Name:OLADIMEJI-STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-803-4338
Mailing Address - Street 1:4309 ADKISSON LN
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6974
Mailing Address - Country:US
Mailing Address - Phone:443-803-4338
Mailing Address - Fax:
Practice Address - Street 1:4309 ADKISSON LN
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-6974
Practice Address - Country:US
Practice Address - Phone:443-803-4338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)