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VICTORIOUS MENTAL HEALTHCARE LLC NPI 1649925785


NPI Information

NPI: 1649925785
Provider Name: VICTORIOUS MENTAL HEALTHCARE LLC

Other Name: VICTORIOUS OMHC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2901 DRUID PARK DR STE A202
BALTIMORE, MD
ZIP 21215
Phone: (410) 488-5171
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VICTORIOUS MENTAL HEALTHCARE LLC is a mental health (including community mental health center) clinic center in Baltimore, MD. VICTORIOUS MENTAL HEALTHCARE LLC NPI is 1649925785. The provider is registered as an organization entity type.
The provider Other Name Is Victorious Omhc.

The provider's business location address is:

2901 DRUID PARK DR STE A202
BALTIMORE, MD
ZIP 21215-131
Phone: (410) 488-5171
Fax: (410) 488-5173

The provider's authorized official is Bosede O Adetunji Idowu .
The authorized official title is Owner and has the following contact phone number (443) 540-0338.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 3/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 4/28/2024

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