Healthcare Provider Details

I. General information

NPI: 1356105738
Provider Name (Legal Business Name): CITYWORLD FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 OLD BRANCH AVE STE B201
CLINTON MD
20735-1605
US

IV. Provider business mailing address

7700 OLD BRANCH AVE STE B201
CLINTON MD
20735-1605
US

V. Phone/Fax

Practice location:
  • Phone: 301-289-7722
  • Fax: 301-441-2518
Mailing address:
  • Phone: 301-289-7722
  • Fax: 301-441-2518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MBUTAMBE ARREY AKPANG
Title or Position: OFFICE MANAGER
Credential: RN
Phone: 202-658-6844