Provider Demographics
NPI:1790289890
Name:UMARU LABAY-KAMARA, MD, LLC
Entity Type:Organization
Organization Name:UMARU LABAY-KAMARA, MD, LLC
Other - Org Name:AXIOS BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UMARU
Authorized Official - Middle Name:
Authorized Official - Last Name:LABAY-KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-776-6106
Mailing Address - Street 1:101 E CHARLES ST STE 202
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-4901
Mailing Address - Country:US
Mailing Address - Phone:301-934-3415
Mailing Address - Fax:
Practice Address - Street 1:101 E CHARLES ST STE 202
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-4901
Practice Address - Country:US
Practice Address - Phone:301-934-3415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
MDD00752322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty