Healthcare Provider Details

I. General information

NPI: 1518774603
Provider Name (Legal Business Name): UKARE WELLNESS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5421 LAKEFORD LN
BOWIE MD
20720-4855
US

IV. Provider business mailing address

5421 LAKEFORD LN
BOWIE MD
20720-4855
US

V. Phone/Fax

Practice location:
  • Phone: 240-547-7966
  • Fax:
Mailing address:
  • Phone: 240-547-7966
  • 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: CHINYERE UZOUKWU
Title or Position: PROVIDER
Credential:
Phone: 240-547-7966