Adore Mental Health & Addiction Clinic Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
NPI 1578259727 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1578259727
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ADORE MENTAL HEALTH & ADDICTION CLINIC INC
- Practice address
- 4812 Liberty Heights Ave Ste B
Baltimore, MD 21207-8032 - Phone
- (667) 379-6975
- NPI assigned
- Apr 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Olufunmilayo Adeloye, NP
- Title
- Owner
- Phone
- (667) 379-6975
Practitioners 2
-
Olufunmilayo E Adeloye, PMHNP
-
Adedoyin Atinuke Alade, CRNP-PMH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230913000486 | MD | Part B Supplier - Clinic/Group Practice | 3274992714 |
Receives reassigned benefits from 1 practitioner Practice locations: Baltimore, MD |
National Provider Directory
Locations
4812 Liberty Heights Ave
Ste B
Gwynn Oak, MD 21207
Phone (667) 379-6975
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
4812 Liberty Heights Ave Ste B
Baltimore, MD 21207-8032
Mailing address
4812 Liberty Heights Ave Ste B
Baltimore, MD 21207-8032
Phone (443) 847-0988
Other providers in Baltimore, MD
- Adora Health & Wellness LLC
- Adoration Home Health Care Maryland, LLC
- Adoration Hospice Care Maryland, LLC
- Adoration Personal Care Maryland, LLC
- Adore Health and Wellness
- Adrian a Sanchez DDS PA
- Jaden Adrien
- Jonell Adu-Gyamfi
- Nana Yaw Ampaw Adu-Sarkodie
- Akwasi Ofori Aduboffour
All providers in Baltimore, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.