MEDICARE: VOICES FOR SPECTRUM, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1053276253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOICES FOR SPECTRUM, LLC

Provider Business Mailing Address
First Line	:	21 MOONLIGHT TRAIL CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-6703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 MOONLIGHT TRAIL CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-6703
Country	:	US
Telephone Number	:	240-460-6285
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OUMOU DJIBRIL KEITA
Credential	:	MPH
Telephone Number	:	240-460-6285

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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