Healthcare Provider Details

I. General information

NPI: 1437721974
Provider Name (Legal Business Name): GIFTS TOWSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 LASALLE ROAD, OXFORD BUILDING SUITE 634
TOWSON MD
21286
US

IV. Provider business mailing address

20 CROSSROADS DR STE 105
OWINGS MILLS MD
21117-5480
US

V. Phone/Fax

Practice location:
  • Phone: 410-356-2007
  • Fax:
Mailing address:
  • Phone: 410-356-2007
  • Fax: 410-356-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. AKINTUNDE OLUDOTUN MORAKINYO
Title or Position: OWNER
Credential: PH.D
Phone: 410-812-7375