Healthcare Provider Details

I. General information

NPI: 1053275040
Provider Name (Legal Business Name): RAHNYS SAFEMIND PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3444 LINDEN GROVE DR
WALDORF MD
20603-4041
US

IV. Provider business mailing address

3444 LINDEN GROVE DR
WALDORF MD
20603-4041
US

V. Phone/Fax

Practice location:
  • Phone: 301-979-1227
  • Fax:
Mailing address:
  • Phone: 301-979-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: OLUDOLAPO HENRIETTA ALEBIOSU
Title or Position: PMHNP
Credential: NP
Phone: 301-979-1227