Healthcare Provider Details

I. General information

NPI: 1245798578
Provider Name (Legal Business Name): FORTITUDE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PLEASANT RIDGE DR STE G
OWINGS MILLS MD
21117-2560
US

IV. Provider business mailing address

20 PLEASANT RIDGE DR STE G
OWINGS MILLS MD
21117-2560
US

V. Phone/Fax

Practice location:
  • Phone: 443-438-6893
  • Fax: 443-869-4437
Mailing address:
  • Phone: 443-438-6893
  • Fax: 443-869-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. HARA OYEDEJI
Title or Position: PSYCHIATRIC NURSE PRACTITONER
Credential: DNP, APRN
Phone: 443-438-6893