MEDICARE: HEALING PATH BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1659216604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PATH BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	6705 STONEHILL RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-4420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6705 STONEHILL RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-4420
Country	:	US
Telephone Number	:	240-354-0894
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABUBAKAR JALLOH
Credential	:
Telephone Number	:	240-354-0894

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “HEALING PATH BEHAVIORAL HEALTH ” Practice Location

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