Phat Future Minds Healthcare Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Essex, MD. Organization (NPI-2).
NPI number1407783699
StatusActive
Last updated in NPPESMay 4, 2026
Details
- NPI
- 1407783699
- Entity type
- Organization (NPI-2)
- Legal business name
- Phat Future Minds Healthcare Services
- Organization subpart
- No
- Enumeration date
- May 4, 2026
- Certification date
- May 4, 2026
- Last updated
- May 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Practice location
1245 Eastern BlvdEssex, MD 21221-3422
Phone 443-717-8645 · Fax 443-717-8645
Mailing address
1245 Eastern BlvdEssex, MD 21221-3422
Phone 443-717-8645 · Fax 443-717-8645
Authorized official
Jimmy Jerome Johnson
Ceo
4437178645
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