Healthcare Provider Details

I. General information

NPI: 1326929746
Provider Name (Legal Business Name): RESOLUTION HEALTH AND WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S EDGEWOOD ST STE 100
HALETHORPE MD
21227-1145
US

IV. Provider business mailing address

PO BOX 2531
ELLICOTT CITY MD
21041-2531
US

V. Phone/Fax

Practice location:
  • Phone: 443-803-3291
  • Fax:
Mailing address:
  • Phone: 410-275-0968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ODIANOSEN OKOJIE
Title or Position: CEO
Credential:
Phone: 410-275-0928