OLIVER MUNTEH MAMBONG NPI 1023964319

NPI Information

  • NPI: 1023964319
  • Provider Name: OLIVER MUNTEH MAMBONG
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8400 WOODLAND MANOR DR
    LAUREL, MD
    ZIP 20724
  • Phone: (443) 830-4429

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NPI Details

Oliver Munteh Mambong is a mental health counselor in Laurel, MD. Oliver Munteh Mambong NPI is 1023964319. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8400 WOODLAND MANOR DR
LAUREL, MD
ZIP 20724-900
Phone: (443) 830-4429

The enumeration date for this NPI number is 3/9/2026 and was last updated on 3/9/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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