Organization
TDK INTEGRATED HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUNMILAYO OLUGBEMI PMHNP-BC (CEO)
(301) 615-3639
Entity
Organization
Contact information
Practice address
7102 GLEN PINE ST, GLENN DALE, MD 20769-9463
(301) 615-3639
(945) 200-5716
Mailing address
7102 GLEN PINE ST, GLENN DALE, MD 20769-9463
(301) 615-3639
(945) 200-5617
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/11/2020
Last updated
02/26/2026
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