Healthcare Provider Details

I. General information

NPI: 1821765926
Provider Name (Legal Business Name): RESONANCE BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5136 BELAIR RD APT B
BALTIMORE MD
21206-5159
US

IV. Provider business mailing address

6 ASPINWOOD WAY APT E
BALTIMORE MD
21237-4210
US

V. Phone/Fax

Practice location:
  • Phone: 443-500-2458
  • Fax:
Mailing address:
  • Phone: 443-500-2458
  • 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
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMU G OHWOBETE
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 443-500-2458