Healthcare Provider Details

I. General information

NPI: 1144131426
Provider Name (Legal Business Name): MINDSCAPE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14032 OAK BRANCH RD
DELMAR DE
19940-4245
US

IV. Provider business mailing address

14032 OAK BRANCH RD
DELMAR DE
19940-4245
US

V. Phone/Fax

Practice location:
  • Phone: 410-422-4626
  • Fax:
Mailing address:
  • Phone: 410-422-4626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OZGUR YARDIMCI
Title or Position: OWNER
Credential:
Phone: 410-422-4626