SHEPHERDS PATH MENTAL WELLNESS NPI 1346126216

NPI Information

  • NPI: 1346126216
  • Provider Name: SHEPHERDS PATH MENTAL WELLNESS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 702 TURKANA CIR
    ABERDEEN, MD
    ZIP 21001
  • Phone: (667) 567-0110

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NPI Details

SHEPHERDS PATH MENTAL WELLNESS is a psychiatric/mental health nurse practitioner in Aberdeen, MD. SHEPHERDS PATH MENTAL WELLNESS NPI is 1346126216. The provider is registered as an organization entity type.

The provider's business location address is:

702 TURKANA CIR
ABERDEEN, MD
ZIP 21001-266
Phone: (667) 567-0110
Fax: (667) 280-4044

The provider's authorized official is Bolanle C Thani .
The authorized official title is Ceo and has the following contact phone number (443) 449-9019.

The enumeration date for this NPI number is 8/14/2025 and was last updated on 8/14/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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

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