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Individual

MIKHAIL OLAIYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11141 REISTERSTOWN RD, OWINGS MILLS, MD 21117-2126
(240) 889-1800
Mailing address
11141 REISTERSTOWN RD, OWINGS MILLS, MD 21117-2126
(240) 889-1800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251E00000X
Home Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3104A0625X
Assisted Living Facility (Mental Illness)
311ZA0620X
Adult Care Home Facility
374U00000X
Home Health Aide
Primary

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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