Healthcare Provider Details

I. General information

NPI: 1154266336
Provider Name (Legal Business Name): FOCUSWELL MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST STE 201
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

6605 WILLOW CREEK RD
BOWIE MD
20720-3324
US

V. Phone/Fax

Practice location:
  • Phone: 410-522-8941
  • Fax: 202-610-9570
Mailing address:
  • Phone: 410-522-8941
  • Fax: 202-574-1918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MAY EJIRO AGOREYO OMOIJUANFO
Title or Position: CRNP-PMH
Credential:
Phone: 410-522-8941