=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235097643
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTHY MINDS FAMILY AND PSYCHIATRIC MEDICINE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2026
-----------------------------------------------------
Last Update Date | 01/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2200 DEFENSE HWY STE 100
-----------------------------------------------------
City | CROFTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21114-2458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-422-5109
-----------------------------------------------------
Fax | 301-560-8663
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2200 DEFENSE HWY STE 100
-----------------------------------------------------
City | CROFTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21114-2458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-422-5109
-----------------------------------------------------
Fax | 301-560-8663
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | EMEFUA YVONNE CLAIRE NJUALEM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 240-429-2843
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------