Infinite Mind Wellness | |
8606 Harford Rd Fl 2 Baltimore MD 21234-4657 | |
(443) 925-9555 | |
(443) 442-6903 |
Full Name | Infinite Mind Wellness |
---|---|
Speciality | Psychiatry & Neurology |
Location | 8606 Harford Rd Fl 2, Baltimore, Maryland |
Authorized Official Name and Position | Olalekan Ajayi (OWNER) |
Authorized Official Contact | 4439259555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Infinite Mind Wellness 11513 Lipscomb Way White Marsh MD 21162-3425 Ph: (443) 925-9555 | Infinite Mind Wellness 8606 Harford Rd Fl 2 Baltimore MD 21234-4657 Ph: (443) 925-9555 |
NPI Number | 1912657305 |
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Provider Enumeration Date | 03/28/2022 |
Last Update Date | 07/18/2022 |
Certification Date | 07/18/2022 |
Medicare PECOS PAC ID | 8022490762 |
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Medicare Enrollment ID | O20220728000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912657305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Olalekan Ajayi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962087627 PECOS PAC ID: 7911303292 Enrollment ID: I20210913000836 |
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