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General NPI Number Information
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NPI Number | 1205769445
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Entity Type | Organization
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Legal Business Name | EUNOIA INTEGRATIVE BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 4690 MILLENNIUM DR
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City | BELCAMP
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State | MD
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Zip | 21017-1523
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Country | US
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Telephone | 443-429-1646
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 CHESSIE WAY
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City | BEL AIR
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State | MD
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Zip | 21015-1486
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Country | US
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Telephone | 240-418-4739
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. OMOLOLA OLATEJU AKOLO
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Credential | DNP, PMHNP-BC
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Telephone | 240-418-4739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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