Healthcare Provider Details

I. General information

NPI: 1427896471
Provider Name (Legal Business Name): DANYAME HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 MERCANTILE LN
UPPER MARLBORO MD
20774-5374
US

IV. Provider business mailing address

1221 MERCANTILE LN
UPPER MARLBORO MD
20774-5374
US

V. Phone/Fax

Practice location:
  • Phone: 301-641-5100
  • Fax:
Mailing address:
  • Phone: 301-641-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE JOYCE ARTHUR-BAIDOO
Title or Position: NP
Credential: CRNP-PHM
Phone: 301-641-5100