Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evidential Therapy & Wellness LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1962295873

Evidential Therapy & Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner in Nottingham, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6 Mallow Ct
Nottingham, MD 21236-1300
Phone: (443) 491-9469
Fax: (443) 222-9310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1962295873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iyobosa Obasogie — Ceo · (667) 303-2771
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address6 Mallow Ct, Nottingham, MD 21236-1300

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