=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952294233
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUE CARE BEHAVIORAL HEALTH SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2025
-----------------------------------------------------
Last Update Date | 06/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9701 APOLLO DR STE 100
-----------------------------------------------------
City | UPPER MARLBORO
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20774-4785
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-455-9205
-----------------------------------------------------
Fax | 301-297-3502
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9701 APOLLO DR STE 100
-----------------------------------------------------
City | UPPER MARLBORO
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20774-4785
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-455-9205
-----------------------------------------------------
Fax | 301-297-3502
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | GBEMISOLA VICTORIA ADEBAYO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-455-9205
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------