Healthcare Provider Details

I. General information

NPI: 1679410773
Provider Name (Legal Business Name): JULIET OKOJIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 OLD COURT RD STE 308
PIKESVILLE MD
21208-3907
US

IV. Provider business mailing address

3635 OLD COURT RD STE 308
PIKESVILLE MD
21208-3907
US

V. Phone/Fax

Practice location:
  • Phone: 443-707-8779
  • Fax:
Mailing address:
  • Phone: 443-707-8779
  • Fax: 410-236-4320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP17857
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLGA3641
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: