1417694118 NPI number — MY CLIENT MENTAL HEALTH AND WELLNESS LLC

Table of content: JAROLD KEITH HUGHES PHARMACIST (NPI 1841281896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417694118 NPI number — MY CLIENT MENTAL HEALTH AND WELLNESS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MY CLIENT MENTAL HEALTH AND WELLNESS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417694118
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10632 LITTLE PATUXENT PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21044-3273
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-437-4920
Provider Business Mailing Address Fax Number:
240-437-4920

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10632 LITTLE PATUXENT PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21044-3273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-437-4920
Provider Business Practice Location Address Fax Number:
240-437-4877
Provider Enumeration Date:
05/16/2022

Additional Information

Authorized Official

Authorized Official Last Name:
EZUNAGU
Authorized Official First Name:
NNEKA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
240-437-4920

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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