Healthcare Provider Details

I. General information

NPI: 1578430187
Provider Name (Legal Business Name): LEMECHI C OBIDIKE NP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 THOMAS JOHNSON DR STE 203
FREDERICK MD
21702-4535
US

IV. Provider business mailing address

176 THOMAS JOHNSON DR STE 203
FREDERICK MD
21702-4535
US

V. Phone/Fax

Practice location:
  • Phone: 240-831-1921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR220604
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: