Healthcare Provider Details

I. General information

NPI: 1376116509
Provider Name (Legal Business Name): MAXIMUM SUPPORT MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 THOMAS EDISON DR STE 200
COLUMBIA MD
21046-2978
US

IV. Provider business mailing address

7125 THOMAS EDISON DR STE 200
COLUMBIA MD
21046-2978
US

V. Phone/Fax

Practice location:
  • Phone: 302-750-2837
  • Fax:
Mailing address:
  • Phone: 302-750-2837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUKAYODE ADELEYE
Title or Position: PRESIDENT/ CEO
Credential:
Phone: 302-750-2837