# OPTIMUM MENTAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639937709
- **Authorized official:** DR. SAMSON A OMOTOSHO CRNP-PMH (DIRECTOR & PSYCHIATRIC NURSE PRACTI)
- **Authorized official phone:** (443) 858-3189

## Contact information

- **Practice address:** 2300 GARRISON BLVD STE 104, BALTIMORE, MD 21216-2308
- **Practice address phone:** (667) 771-2776
- **Practice address fax:** (410) 655-3484
- **Mailing address:** 10701 CHAPELDALE ROAD, RANDALLSTOWN, MD 21133
- **Mailing address phone:** (443) 858-3189
- **Mailing address fax:** (410) 655-3484

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 10/20/2025