Healthcare Provider Details

I. General information

NPI: 1790354124
Provider Name (Legal Business Name): YOUME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 06/21/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 JOHNNYCAKE RD STE 101
BALTIMORE MD
21244-2419
US

IV. Provider business mailing address

7001 JOHNNYCAKE RD STE 101
BALTIMORE MD
21244-2419
US

V. Phone/Fax

Practice location:
  • Phone: 866-968-6342
  • Fax: 855-615-2876
Mailing address:
  • Phone: 866-968-6342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HAFEEZAH AMINAH MUHAMMAD
Title or Position: CEO
Credential:
Phone: 410-916-7164