Healthcare Provider Details

I. General information

NPI: 1649089285
Provider Name (Legal Business Name): HEALTHY MINDS FAMILY AND PSYCHIATRIC MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 DEFENSE HWY STE 100
CROFTON MD
21114
US

IV. Provider business mailing address

2200 DEFENSE HWY STE 100
CROFTON MD
21114-2458
US

V. Phone/Fax

Practice location:
  • Phone: 443-548-0856
  • Fax: 301-560-8663
Mailing address:
  • Phone: 443-548-0856
  • Fax: 301-560-8663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMEFUA YVONNE CLAIRE NJUALEM
Title or Position: OWNER/PROVIDER
Credential: DNP
Phone: 443-422-5109