Healthcare Provider Details

I. General information

NPI: 1780552216
Provider Name (Legal Business Name): PENUEL BEHAVIORAL HEALTH SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 W WARD RD STE 201
DUNKIRK MD
20754-3047
US

IV. Provider business mailing address

3140 W WARD RD STE 201
DUNKIRK MD
20754-3047
US

V. Phone/Fax

Practice location:
  • Phone: 301-635-1240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name: OLABIMPE OLOJO
Title or Position: OWNER
Credential:
Phone: 301-832-7666