Healthcare Provider Details

I. General information

NPI: 1083473789
Provider Name (Legal Business Name): HEALING HOPE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 EMMORTON RD STE 2A
ABINGDON MD
21009-2587
US

IV. Provider business mailing address

3105 EMMORTON RD STE 2A
ABINGDON MD
21009-2587
US

V. Phone/Fax

Practice location:
  • Phone: 443-594-7764
  • Fax: 954-405-8786
Mailing address:
  • Phone: 443-594-7764
  • Fax: 954-405-8786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EBUNOLUWA AKINYEMI
Title or Position: CO-OWNER
Credential: DNP
Phone: 443-304-8390