Healthcare Provider Details

I. General information

NPI: 1336060821
Provider Name (Legal Business Name): CLEARPATHS PSYCHIATRY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 MALCOLM DR
WESTMINSTER MD
21157-6130
US

IV. Provider business mailing address

3831 TARRAGON BEND DR
RICHMOND TX
77406-2618
US

V. Phone/Fax

Practice location:
  • Phone: 346-781-8821
  • Fax: 346-781-8851
Mailing address:
  • Phone: 346-781-8821
  • Fax: 346-781-8851

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: ADESOLA W OLUTAYO
Title or Position: OWNER
Credential:
Phone: 346-781-8821