Provider Demographics
NPI:1184217440
Name:ASSURED ACCESS MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ASSURED ACCESS MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUREMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ILUPEJU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-439-4422
Mailing Address - Street 1:7221 HANOVER PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2022
Mailing Address - Country:US
Mailing Address - Phone:301-674-9319
Mailing Address - Fax:301-439-0968
Practice Address - Street 1:7221 HANOVER PKWY STE C
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2022
Practice Address - Country:US
Practice Address - Phone:301-439-4422
Practice Address - Fax:301-439-0968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health