Healthcare Provider Details

I. General information

NPI: 1194300475
Provider Name (Legal Business Name): A & E HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 W FRANKLIN ST STE 1
BALTIMORE MD
21201-1823
US

IV. Provider business mailing address

4920 NIAGARA RD STE 408
COLLEGE PARK MD
20740-1160
US

V. Phone/Fax

Practice location:
  • Phone: 410-801-9011
  • Fax:
Mailing address:
  • Phone: 410-801-9011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. OLUWAKEMI OGUNSEYE
Title or Position: PRESIDENT
Credential:
Phone: 410-801-9011