Provider Demographics
NPI:1962099333
Name:CLEAR MIND HEALTH
Entity type:Organization
Organization Name:CLEAR MIND HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:DR
Authorized Official - First Name:OLADIPO
Authorized Official - Middle Name:
Authorized Official - Last Name:OLALEYE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:240-432-1276
Mailing Address - Street 1:400 E PATAPSCO AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1830
Mailing Address - Country:US
Mailing Address - Phone:240-432-1276
Mailing Address - Fax:
Practice Address - Street 1:400 E PATAPSCO AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1830
Practice Address - Country:US
Practice Address - Phone:240-432-1276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)