MISS EDWAN AGWAH MBAKU
NPI 1063776581
Community/Behavioral Health in Upper Marlboro, MD

Q: What is Edwan Mbaku's NPI number?

The NPI number for Edwan Mbaku is 1063776581. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Q: What is Edwan Mbaku's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Edwan Mbaku was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2012

104 STEEPLE CHASE WAY, UPPER MARLBORO, MD 20774(240) 441-3944 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2023, Apr 26, 2018 (2 updates tracked since 2018).

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About Miss Edwan Agwah Mbaku NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS EDWAN AGWAH MBAKU (NPI 1063776581) is an individual community/behavioral health provider in Upper Marlboro, Maryland and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1063776581

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameMISS EDWAN AGWAH MBAKU

Location Address104 STEEPLE CHASE WAYUpper Marlboro, MD 20774-1132

Mailing Address5914 85th AveNew Carrollton, MD 20784-2802 · (240) 441-3944

Phone(240) 441-3944

Sole ProprietorYes

Enumeration DateJune 28, 2012

Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration

NPPES CertifiedMarch 31, 2023

✔ NPI 1063776581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedHome Health AideTaxonomy 374U00000X

104 STEEPLE CHASE WAY, Upper Marlboro, MD 20774

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwan Mbaku's NPI number?

The NPI number for Edwan Mbaku is 1063776581. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Edwan Mbaku located?

Edwan Mbaku practices at 104 Steeple Chase Way, Upper Marlboro, MD 20774. The listed phone number is (240) 441-3944.

What is Edwan Mbaku's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Edwan Mbaku was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.