Healthcare Provider Details

I. General information

NPI: 1336076777
Provider Name (Legal Business Name): SAFEMIND MENTAL HEALTH AND WELLNESS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
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 Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

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