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

Mattdivine Healthcare and Wellness Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1902530702

Mattdivine Healthcare and Wellness Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Laurel, Maryland. Registered with an NPI since 2022.

In the registry since
2022
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

8506 Snowden Loop
Laurel, MD 20708-2360
Phone: (240) 501-0232
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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 number1902530702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ogochukwu Enyi — Ceo · (240) 501-0232
NPI enumeratedJuly 15, 2022
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022
Mailing address8506 Snowden Loop, Laurel, MD 20708-2360

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