Organization
SHEPHERDS PATH MENTAL WELLNESS
Active
Other names
Shepherds Path Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BOLANLE C THANI (CEO)
(443) 449-9019
Entity
Organization
Contact information
Practice address
702 TURKANA CIR, ABERDEEN, MD 21001-1266
(667) 567-0110
(667) 280-4044
Mailing address
702 TURKANA CIR, ABERDEEN, MD 21001-1266
(443) 449-9019
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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