- Practice location
- 6340 Security Blvd Ste 100, Baltimore, MD 21207-5284
- Phone
- 774-420-8760
- Fax
- 133-921-0899
- Last updated
- April 29, 2026
Mieljade Behavioral Health, LLC is a healthcare organization based in Baltimore, MD. Mieljade Behavioral Health, LLC practices in Baltimore, MD. The NPI Number for Mieljade Behavioral Health, LLC is 1922880137. The current practice location address for Mieljade Behavioral Health, LLC is 6340 Security Blvd Ste 100, Baltimore, MD 21207-5284 and can be reached out via phone at 774-420-8760 and via fax at 133-921-0899.
Provider Profile Details
- NPI Number
- 1922880137
- Provider Name
- Mieljade Behavioral Health, LLC
- Provider Entity Type
- Organization
- Address
- 6340 Security Blvd Ste 100, Baltimore, MD 21207-5284
- Phone Number
- 774-420-8760
- Fax Number
- 133-921-0899
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Gifty Ampaw, PSYD, BCBA, LABA, LBA · Ceo · 774-420-8760
- Provider Enumeration Date
- October 23, 2023
- Last Update Date
- April 29, 2026
- Certification Date
- April 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6340 Security Blvd Ste 100
Baltimore, MD 21207-5284 - City
- Baltimore
- State
- Maryland
- Zip
- 21207-5284
- Phone Number
- 774-420-8760
- Fax Number
- 133-921-0899
Provider Business Mailing Address Details
- Address
- 26 Utica Dr
Worcester, MA 01603-1623 - City
- Worcester
- State
- MA
- Zip
- 01603-1623
- Phone Number
- 774-420-8760
- Fax Number
- 339-210-8992
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (4)
- Assistant Behavior Analyst · 106E00000X
- Taxonomy (5)
- Behavior Technician · 106S00000X
- Taxonomy (6)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mieljade Behavioral Health, LLC?
The NPI number of Mieljade Behavioral Health, LLC is 1922880137. It was assigned on October 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Mieljade Behavioral Health, LLC?
Mieljade Behavioral Health, LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Mieljade Behavioral Health, LLC practice?
The practice location is 6340 Security Blvd Ste 100, Baltimore, MD 21207-5284. The office can be reached at 774-420-8760 (phone) or 133-921-0899 (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 1922880137 directly on the NPPES registry website.