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MATTDIVINE HEALTHCARE AND WELLNESS SERVICES LLC
NPI 1902530702
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD

Active since July 15, 2022
8506 SNOWDEN LOOP, LAUREL, MD 20708(240) 501-0232 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mattdivine Healthcare And Wellness Services Llc NPPES

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

MATTDIVINE HEALTHCARE AND WELLNESS SERVICES LLC (NPI 1902530702) is a healthcare organization registered as a psychiatric/mental health in Laurel, Maryland and active in the NPI registry since July 2022. The organization lists Ogochukwu Enyi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902530702
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMATTDIVINE HEALTHCARE AND WELLNESS SERVICES LLC
Location Address8506 SNOWDEN LOOPLaurel, MD 20708-2360
Mailing Address8506 Snowden LoopLaurel, MD 20708-2360 · (240) 501-0232
Phone(240) 501-0232
Organization SubpartNo
Authorized OfficialOgochukwu EnyiCeo · (240) 501-0232
Enumeration DateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
✔ NPI 1902530702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
8506 SNOWDEN LOOP, Laurel, MD 20708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OGOCHUKWU ENYI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8506 SNOWDEN LOOP
LAUREL, MD 20708
Prince George's County (240) 501-0232
MEDIVINE HEALTHCARE SERVICES INC
Nurse Practitioner (Psychiatric/Mental Health)
8506 SNOWDEN LOOP
LAUREL, MD 20708
Prince George's County (240) 501-0232

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 Mattdivine Healthcare And Wellness Services LLC's NPI number?

The NPI number for Mattdivine Healthcare And Wellness Services LLC is 1902530702. It was assigned to this organization in the NPPES registry on July 15, 2022.

Where is Mattdivine Healthcare And Wellness Services LLC located?

Mattdivine Healthcare And Wellness Services LLC is located at 8506 Snowden Loop, Laurel, MD 20708. The listed phone number is (240) 501-0232.

What is Mattdivine Healthcare And Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mattdivine Healthcare And Wellness Services LLC was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.