Healthcare Provider Details

I. General information

NPI: 1134049992
Provider Name (Legal Business Name): AXEL MENTAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3112 RIVER BEND CT APT H304
LAUREL MD
20724-6011
US

IV. Provider business mailing address

3112 RIVER BEND CT APT H304
LAUREL MD
20724-6011
US

V. Phone/Fax

Practice location:
  • Phone: 410-564-8804
  • Fax:
Mailing address:
  • Phone: 410-564-8804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIAMA SAFFA
Title or Position: CEO
Credential: LICSW
Phone: 410-564-8804