CROWN OASIS MENTAL WELLNESS LLC
NPI 1215620190
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbia, MD

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

Active since May 29, 2023

5513 TWIN KNOLLS RD STE 213, COLUMBIA, MD 21045(240) 636-7404 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2024, May 29, 2023 (2 updates tracked since 2023).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...

About CROWN OASIS MENTAL WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Crown Oasis Mental Wellness Llc, a provider established in Columbia, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1215620190 assigned on May 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Adisatu Adeyemi Lcpc (Ceo)

NPI: 1215620190 Verify this NPI
Provider Name: CROWN OASIS MENTAL WELLNESS LLC
Entity Type: Organization
Location Address: 5513 TWIN KNOLLS RD STE 213 COLUMBIA, MD 21045
Location Phone: (240) 636-7404
Mailing Address: 5513 TWIN KNOLLS RD STE 213 COLUMBIA, MD 21045
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-29-2023
Last Update Date: 07-18-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	251S00000X	Agencies	Community/Behavioral Health

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ADISATU ADEYEMI LCPC
Authorized Official Title: CEO
Authorized Official Phone: (240) 636-7405