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NPI Code Detail

MEDICARE: URBAN INSTITUTE OF MENTAL HEALTH, LLC

MEDICARE: URBAN INSTITUTE OF MENTAL HEALTH, 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1720604960
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN INSTITUTE OF MENTAL HEALTH, LLC
Provider Business Mailing Address
First Line : 397 CARRONADE WAY
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2362
Country : US
Telephone Number : 443-995-5984
Fax Number :
Provider Business Practice Location Address
First Line : 8865 STANFORD BLVD STE 202
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5422
Country : US
Telephone Number : 443-995-5984
Fax Number :
Authorized Official
Title or Position : CEO
Name : OCTAVIA MARIE BROWN
Credential : LCSW-C
Telephone Number : 443-995-5984
Provider Enumeration Date : 06/23/2020
Last Update Date : 11/07/2025

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