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EVIDENTIAL THERAPY & WELLNESS LLC
NPI 1962295873
Nurse Practitioner - Psychiatric/Mental Health in Nottingham, MD

Active since May 23, 2025
6 MALLOW CT, NOTTINGHAM, MD 21236(443) 491-9469(443) 222-9310 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evidential Therapy & Wellness Llc NPPES

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

EVIDENTIAL THERAPY & WELLNESS LLC (NPI 1962295873) is a healthcare organization registered as a psychiatric/mental health in Nottingham, Maryland and active in the NPI registry since May 2025. The organization lists Iyobosa Joan Obasogie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962295873
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVIDENTIAL THERAPY & WELLNESS LLC
Location Address6 MALLOW CTNottingham, MD 21236-1300
Mailing Address6 Mallow CtNottingham, MD 21236-1300
Phone(443) 491-9469
Fax(443) 222-9310
Organization SubpartNo
Authorized OfficialIyobosa Joan ObasogieCeo · (667) 303-2771
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1962295873 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
6 MALLOW CT, Nottingham, MD 21236
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JODANY HEALTHCARE SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
6 MALLOW CT
NOTTINGHAM, MD 21236
Baltimore County (443) 630-8631

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 Evidential Therapy & Wellness LLC's NPI number?

The NPI number for Evidential Therapy & Wellness LLC is 1962295873. It was assigned to this organization in the NPPES registry on May 23, 2025.

Where is Evidential Therapy & Wellness LLC located?

Evidential Therapy & Wellness LLC is located at 6 Mallow Ct, Nottingham, MD 21236. The listed phone number is (443) 491-9469.

What is Evidential Therapy & Wellness 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 Evidential Therapy & Wellness LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.