Graceland Psychiatry Llc

LBN: Graceland Psychiatry Llc
Graceland Psychiatry Llc is an health care organization with primary practice located at 10451 Mill Run Cir , Owings Mills MD 21117-5577. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Graceland Psychiatry Llc can be contacted via phone (888) 517-4888, or through Adediran, Adetimbo via phone (240) 722-9763.

Contact Information

Primary practice address
10451 Mill Run Cir Owings Mills MD 21117-5577
Phone: (888) 517-4888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adediran, Adetimbo PMHNP
Phone: (240) 722-9763

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1265011928
LBN Legal business name Graceland Psychiatry Llc
DBA Doing business as
Authorized official Adediran, Adetimbo PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2021
Last updated Jun 16th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers