Healthcare Provider Details
I. General information
NPI: 1093640005
Provider Name (Legal Business Name): BYTAS MENTAL HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16701 MELFORD BLVD STE 400
BOWIE MD
20715-4411
US
IV. Provider business mailing address
3211 WINTERBOURNE DR
UPPER MARLBORO MD
20774-9083
US
V. Phone/Fax
- Phone: 240-505-4839
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABOLANLE
OLABISI
OWOEYE
Title or Position: PMHNP-BC
Credential:
Phone: 240-505-4839