Healthcare Provider Details

I. General information

NPI: 1922672989
Provider Name (Legal Business Name): ELEGANTE BEE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 LEONARDTOWN RD STE 202
WALDORF MD
20601-3647
US

IV. Provider business mailing address

3600 LEONARDTOWN RD STE 202
WALDORF MD
20601-3647
US

V. Phone/Fax

Practice location:
  • Phone: 240-633-9220
  • Fax: 240-635-9926
Mailing address:
  • Phone: 240-633-9220
  • Fax: 240-635-9926

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
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS BUKOLA MORUFAT ZUBAIR
Title or Position: OWNER OF ENTITY
Credential: NP
Phone: 240-633-9220