Healthcare Provider Details

I. General information

NPI: 1396550208
Provider Name (Legal Business Name): LEEMU BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2025
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
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

11602 BRIGIT CT
BOWIE MD
20720-4486
US

V. Phone/Fax

Practice location:
  • Phone: 240-441-7732
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: MRS. BAINDU LEEMU MANSARAY-SMITH
Title or Position: PSYCHIATRY NURSE PRACTITIONER
Credential: PSYCH NP
Phone: 240-441-7732