Healthcare Provider Details

I. General information

NPI: 1205769445
Provider Name (Legal Business Name): EUNOIA INTEGRATIVE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4690 MILLENNIUM DR
BELCAMP MD
21017-1523
US

IV. Provider business mailing address

2520 CHESSIE WAY
BEL AIR MD
21015-1486
US

V. Phone/Fax

Practice location:
  • Phone: 443-429-1646
  • Fax:
Mailing address:
  • Phone: 240-418-4739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. OMOLOLA OLATEJU AKOLO
Title or Position: DIRECTOR
Credential: DNP, PMHNP-BC
Phone: 240-418-4739