Healthcare Provider Details
I. General information
NPI: 1902435365
Provider Name (Legal Business Name): HANEI HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2020
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
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
451 HUNGERFORD DR STE 119
ROCKVILLE MD
20850-5148
US
V. Phone/Fax
- Phone: 443-978-1330
- Fax: 240-306-9325
- 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 | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JUDDY
MORGAN
Title or Position: PMHNP
Credential:
Phone: 443-978-1330