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

Fountain of Life Healthcare PC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1396494878

Fountain of Life Healthcare PC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lanham, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7375 Executive Pl
Lanham, MD 20706-2278
Phone: (301) 806-7473
Fax: (410) 988-2868
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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 number1396494878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chidi Nwachukwu — Provider · (410) 777-5292
NPI enumeratedMarch 22, 2022
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023
Mailing address7375 Executive Pl, Lanham, MD 20706-2278

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