MEDICARE: HEALING PATHWAYS BEHAVIORAL HEALTH SOLUTIONS

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1811793219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PATHWAYS BEHAVIORAL HEALTH SOLUTIONS

Provider Business Mailing Address
First Line	:	1414 CANADIEN GEESE CT
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7062
Country	:	US
Telephone Number	:	240-371-6092
Fax Number	:	240-371-6222

Provider Business Practice Location Address
First Line	:	9701 APOLLO DR STE 411
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-4899
Country	:	US
Telephone Number	:	240-371-6092
Fax Number	:	240-371-6222

Authorized Official
Title or Position	:	OWNER
Name	:	FATMATA BAH
Credential	:	NP
Telephone Number	:	240-371-6092

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	03/11/2026

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