Organization
LIVES SAVERS BEHAVIORAL HEALTH LLC
Active
Parent organization
-
Other names
Lives Savers Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
DR. OLUWAKEMI OSIDELE DNP, PMHNP-BC (PRESIDENT)
(240) 575-9940
Entity
Organization
Contact information
Practice address
102 N 21ST ST # 220, PURCELLVILLE, VA 20132-5606
(240) 415-0064
(240) 415-0209
Mailing address
211 S JEFFERSON ST STE 201, FREDERICK, MD 21701-7012
(240) 415-0064
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/30/2024
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