Healthcare Provider Details

I. General information

NPI: 1902789100
Provider Name (Legal Business Name): FELICIA OLUWATOYIN TINUOYE MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7939 HONEYGO BLVD
NOTTINGHAM MD
21236-4931
US

IV. Provider business mailing address

8409 ARBOR STATION WAY APT A
PARKVILLE MD
21234-4936
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-4825
  • Fax:
Mailing address:
  • Phone: 615-788-7187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: