Healthcare Provider Details

I. General information

NPI: 1093649105
Provider Name (Legal Business Name): TENDER MIND & SOUL HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

872 ELMWOOD CT
WESTMINSTER MD
21158-8848
US

IV. Provider business mailing address

30 S RITTERS LN
OWINGS MILLS MD
21117-3314
US

V. Phone/Fax

Practice location:
  • Phone: 240-714-9910
  • Fax: 240-714-9910
Mailing address:
  • Phone: 240-714-9910
  • Fax: 240-714-9910

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: DEBORAH OLUWAKEMI BAMIDELE-FALUSI
Title or Position: MEDICAL DIRECTOR
Credential: CRNP-PMH BC
Phone: 240-714-9910