Organization
IZYHEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IZEKU IZIEGBE EKATAH CRNP-PMHNP (CEO)
(240) 865-3144
Entity
Organization
Contact information
Practice address
12774 WISTERIA DR # 353, GERMANTOWN, MD 20874-9998
(240) 813-0304
(641) 206-7158
Mailing address
12774 WISTERIA DR # 353, GERMANTOWN, MD 20874-9998
(240) 865-3144
(877) 365-0899
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/07/2025
Last updated
01/24/2026
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