# NIMEL MENTAL HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NIMEL MENTAL HEALTH LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053252213
- **Legal business name:** NIMEL MENTAL HEALTH LLC
- **Authorized official:** MOSUNMOLA LAKE (MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 272-1558

## Contact information

- **Practice address:** 216 CRAIN HWY N STE 102, GLEN BURNIE, MD 21061-3086
- **Practice address phone:** (301) 272-1558
- **Mailing address:** 6215 GREENBELT RD STE 107, BERWYN HEIGHTS, MD 20740-2355
- **Mailing address phone:** (301) 272-1558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2026
- **Last updated:** 04/02/2026
