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

Imisio Healthcare Services

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1902768104

Imisio Healthcare Services is a Mental Health Clinic/Center (Including Community Mental Health Center) in Pikesville, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1515 Reisterstown Rd Ste 304
Pikesville, MD 21208-4336
Phone: (410) 505-0506
Fax: (240) 466-6507
Show map & directions

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

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1902768104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omokorede Fatile — President · (718) 749-4346
NPI enumeratedNovember 26, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address1515 Reisterstown Rd Ste 304, Pikesville, MD 21208-4336

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