# THE LILY VALLEY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE LILY VALLEY GROUP, INC.
- **Other names:** Lily Health and Wellness Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053067876
- **Legal business name:** THE LILY VALLEY GROUP, INC.
- **Authorized official:** DR. SIMILADE ADETUNJI DNP, PMHNP,FNP (PROVIDER)
- **Authorized official phone:** (240) 401-5260

## Contact information

- **Practice address:** 1600 BELLE DR, ANNAPOLIS, MD 21401-1147
- **Practice address phone:** (240) 401-5260
- **Mailing address:** 1600 BELLE DR, ANNAPOLIS, MD 21401-1147
- **Mailing address phone:** (240) 401-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2022
- **Last updated:** 10/28/2023