MEDICARE: HEALTHY MINDS FAMILY AND PSYCHIATRIC MEDICINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1649089285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY MINDS FAMILY AND PSYCHIATRIC MEDICINE, LLC

Provider Business Mailing Address
First Line	:	2200 DEFENSE HWY STE 100
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-2458
Country	:	US
Telephone Number	:	443-548-0856
Fax Number	:	301-560-8663

Provider Business Practice Location Address
First Line	:	2200 DEFENSE HWY
Second Line	:	STE 100
City	:	CROFTON
State	:	MD
Zip	:	21114
Country	:	US
Telephone Number	:	443-548-0856
Fax Number	:	301-560-8663

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	EMEFUA YUONNE NJUALEM
Credential	:	DNP
Telephone Number	:	443-422-5109

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	03/02/2026

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