Healthcare Provider Details

I. General information

NPI: 1518815059
Provider Name (Legal Business Name): JUVORA MIND AND WELLNESS HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 N ROLLING RD STE 305
CATONSVILLE MD
21228-4142
US

IV. Provider business mailing address

516 N ROLLING RD STE 305
CATONSVILLE MD
21228-4142
US

V. Phone/Fax

Practice location:
  • Phone: 443-985-4622
  • Fax: 443-985-4622
Mailing address:
  • Phone: 443-985-4622
  • Fax: 443-985-4622

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: JULIA OSEMI-AKPAMA
Title or Position: OWNER
Credential: OSEMI-AKPAMA
Phone: 443-985-4622