Okundaye, Omoruyi Ephraim

Okundaye, Omoruyi Ephraim is an sole proprietor health care provider with primary practice located at 16 W 25Th St , Baltimore MD 21218-5002. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Okundaye, Omoruyi Ephraim can be contacted via phone (443) 682-5807.

Contact Information

Primary practice address
16 W 25Th St Baltimore MD 21218-5002
Phone: (443) 682-5807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA369 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC17618 Maryland
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Maryland

Profile Details

NPI number 1871900845
LBN Legal business name Okundaye, Omoruyi Ephraim
Credentials MSW, LCSW-C, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2014
Last updated Jul 22nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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