Active NPIOrganization

Innermind Solutions LLC

Nurse Practitioner, Psych/Mental Health in Laurel, Maryland

NPI Number1639799141
Practice location
11715 Basswood Dr, Laurel, MD 20708-3167
Fax
860-374-4063
Last updated
April 16, 2026

Innermind Solutions LLC is a healthcare organization based in Laurel, MD. Innermind Solutions LLC practices in Laurel, MD. The NPI Number for Innermind Solutions LLC is 1639799141. The current practice location address for Innermind Solutions LLC is 11715 Basswood Dr, Laurel, MD 20708-3167 and can be reached out via phone at 959-277-0432 and via fax at 860-374-4063.

Provider Profile Details

NPI Number
1639799141
Provider Name
Innermind Solutions LLC
Provider Entity Type
Organization
Address
11715 Basswood Dr, Laurel, MD 20708-3167
Phone Number
959-277-0432
Fax Number
860-374-4063
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Dr. Ayodeji Bamidele Olawale, DNP · Ceo · 301-905-2947
Provider Enumeration Date
April 24, 2020
Last Update Date
April 16, 2026
Certification Date
April 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11715 Basswood Dr
Laurel, MD 20708-3167
City
Laurel
Zip
20708-3167
Phone Number
959-277-0432
Fax Number
860-374-4063
Laurel, MD 20708Get directions →

Provider Business Mailing Address Details

Address
11715 Basswood Dr
Laurel, MD 20708-3167
City
Laurel
State
MD
Zip
20708-3167
Phone Number
959-277-0432
Fax Number
860-374-4063

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Innermind Solutions LLC?

The NPI number of Innermind Solutions LLC is 1639799141. It was assigned on April 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Innermind Solutions LLC?

Innermind Solutions LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Innermind Solutions LLC practice?

The practice location is 11715 Basswood Dr, Laurel, MD 20708-3167. The office can be reached at 959-277-0432 (phone) or 860-374-4063 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639799141 directly on the NPPES registry website.

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