Provider Demographics
NPI:1639799141
Name:INNERMIND SOLUTIONS LLC
Entity type:Organization
Organization Name:INNERMIND SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AYODEJI
Authorized Official - Middle Name:BAMIDELE
Authorized Official - Last Name:OLAWALE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:301-905-2947
Mailing Address - Street 1:750 MAIN ST STE 412
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-2703
Mailing Address - Country:US
Mailing Address - Phone:860-815-8799
Mailing Address - Fax:860-374-4063
Practice Address - Street 1:915 TOLL HOUSE AVE STE 205
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5901
Practice Address - Country:US
Practice Address - Phone:443-675-8082
Practice Address - Fax:301-732-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty