Healthcare Provider Details

I. General information

NPI: 1467300673
Provider Name (Legal Business Name): SAFA PATHWAY PSYCHIATRY & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2026
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4506 LYONS RUN CIR
OWINGS MILLS MD
21117-6365
US

IV. Provider business mailing address

4506 LYONS RUN CIR APT 304
OWINGS MILLS MD
21117-6944
US

V. Phone/Fax

Practice location:
  • Phone: 240-413-3117
  • Fax:
Mailing address:
  • Phone: 240-413-3117
  • Fax:

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: SARAH A ADEYALE
Title or Position: PMHNP
Credential: NP
Phone: 240-342-9597