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Evidential Therapy & Wellness Llc

Nurse Practitioner - Psychiatric/Mental Health

IYOBOSA OBASOGIE
NPI: 1962295873Nottingham, Maryland, 21236(443) 491-9469

About Evidential Therapy & Wellness Llc

Evidential Therapy & Wellness Llc is a healthcare organization providing Nurse Practitioner - Psychiatric/Mental Health services, with specialized expertise in Psychiatric/Mental Health, registered under National Provider Identifier (NPI) number 1962295873.

The authorized official for Evidential Therapy & Wellness Llc is IYOBOSA OBASOGIE. The organization is headquartered at 6 MALLOW CT, Nottingham, Maryland 21236. The main office can be reached at (443) 491-9469.

Evidential Therapy & Wellness Llc has been NPI-registered since 2025.

Locations & Contact

Primary Location

Address
6 MALLOW CT
City
Nottingham
State
Maryland
ZIP
21236-1300
Phone
(443) 491-9469
Fax
(443) 222-9310
View on Google Maps

Authorized Official

Name
IYOBOSA OBASOGIE

Mailing Address

Address
6 MALLOW CT
City
NOTTINGHAM
State
MD
ZIP
212361300

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Classification
Nurse Practitioner
Specialization
Psychiatric/Mental Health
Taxonomy Code
363LP0808X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Evidential Therapy & Wellness Llc's NPI number?
Evidential Therapy & Wellness Llc's National Provider Identifier (NPI) is 1962295873. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Evidential Therapy & Wellness Llc specialize in?
Evidential Therapy & Wellness Llc specializes in Nurse Practitioner - Psychiatric/Mental Health.
Where is Evidential Therapy & Wellness Llc located?
Evidential Therapy & Wellness Llc practices at 6 MALLOW CT, Nottingham, Maryland 21236. You can reach them by phone at (443) 491-9469.
Does Evidential Therapy & Wellness Llc accept Medicare?
Based on available data, Evidential Therapy & Wellness Llc is not currently enrolled in the Medicare program.
Does Evidential Therapy & Wellness Llc offer telehealth or virtual visits?
Evidential Therapy & Wellness Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Evidential Therapy & Wellness Llc holds NPI 1962295873, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.