Healthcare Provider Details

I. General information

NPI: 1326821109
Provider Name (Legal Business Name): GREATER HEIGHTS HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 GRAYCLIFF LN
ODENTON MD
21113-1697
US

IV. Provider business mailing address

1210 GRAYCLIFF LN
ODENTON MD
21113-1697
US

V. Phone/Fax

Practice location:
  • Phone: 443-805-7997
  • Fax: 410-593-0146
Mailing address:
  • Phone: 443-805-7997
  • Fax: 410-593-0146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAMELA CHINWE NWAORGU
Title or Position: PMHNP
Credential:
Phone: 424-622-8428