# SHEPHERDS PATH MENTAL WELLNESS

> 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
- **Other names:** Shepherds Path Mental Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346126216
- **Authorized official:** BOLANLE C THANI (CEO)
- **Authorized official phone:** (443) 449-9019

## Contact information

- **Practice address:** 702 TURKANA CIR, ABERDEEN, MD 21001-1266
- **Practice address phone:** (667) 567-0110
- **Practice address fax:** (667) 280-4044
- **Mailing address:** 702 TURKANA CIR, ABERDEEN, MD 21001-1266
- **Mailing address phone:** (443) 449-9019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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:** 08/14/2025
- **Last updated:** 08/14/2025