Healthcare Provider Details

I. General information

NPI: 1265351076
Provider Name (Legal Business Name): BANI GABSIA UKERIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4123 WARNER AVE APT C1
LANDOVER HILLS MD
20784-1952
US

IV. Provider business mailing address

4123 WARNER AVE APT C1
LANDOVER HILLS MD
20784-1952
US

V. Phone/Fax

Practice location:
  • Phone: 240-579-0365
  • Fax:
Mailing address:
  • Phone: 240-579-0365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006448
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: