Healthcare Provider Details

I. General information

NPI: 1861356941
Provider Name (Legal Business Name): SPERANZA WELLNESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 BENFIELD RD
SEVERNA PARK MD
21146-2527
US

IV. Provider business mailing address

11296 LAURELWALK DR
LAUREL MD
20708-3005
US

V. Phone/Fax

Practice location:
  • Phone: 301-385-3040
  • Fax:
Mailing address:
  • Phone: 301-385-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MAUREEN MUBOH NDZI
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: DNP, PMHNP-BC, CCM
Phone: 301-385-3040