Healthcare Provider Details

I. General information

NPI: 1225986680
Provider Name (Legal Business Name): ANBREYA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 GULFSTREAM ROW
COLUMBIA MD
21044-2907
US

IV. Provider business mailing address

5457 TWIN KNOLLS RD STE 300
COLUMBIA MD
21045-3296
US

V. Phone/Fax

Practice location:
  • Phone: 202-644-0408
  • Fax:
Mailing address:
  • Phone: 202-644-0408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. PRISCILLA COOMSON
Title or Position: PRESIDENT
Credential: DNP, CRNP, PMHNP-BC
Phone: 202-644-0408