Provider Demographics
NPI:1801694161
Name:INSIGHT MIND AND WELLNESS CENTER
Entity type:Organization
Organization Name:INSIGHT MIND AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEDAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINLOFA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:443-300-3960
Mailing Address - Street 1:1531 S EDGEWOOD ST STE C
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1138
Mailing Address - Country:US
Mailing Address - Phone:443-300-3960
Mailing Address - Fax:443-300-3966
Practice Address - Street 1:1531 S EDGEWOOD ST STE C
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1138
Practice Address - Country:US
Practice Address - Phone:443-300-3960
Practice Address - Fax:443-300-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)