Provider Demographics
NPI:1306573761
Name:BOUNDLESS MENTAL HEALTH
Entity type:Organization
Organization Name:BOUNDLESS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:OLATUNJI
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLAWEWO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP-PMH
Authorized Official - Phone:240-791-4549
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22199-0281
Mailing Address - Country:US
Mailing Address - Phone:240-791-4549
Mailing Address - Fax:240-696-3001
Practice Address - Street 1:6130 OXON HILL RD STE 204
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3168
Practice Address - Country:US
Practice Address - Phone:240-791-4549
Practice Address - Fax:240-696-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)