Healthcare Provider Details

I. General information

NPI: 1992658900
Provider Name (Legal Business Name): OLUBUNMI TOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6221 MCKAY CIR
ROSEDALE MD
21237-2069
US

IV. Provider business mailing address

6221 MCKAY CIR
ROSEDALE MD
21237-2069
US

V. Phone/Fax

Practice location:
  • Phone: 443-207-4103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26073
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26073
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: