MEDICARE: LIVING FAITH HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710837489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING FAITH HEALTH LLC

Provider Business Mailing Address
First Line	:	5502 1/2 PARK HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-4624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5502 1/2 PARK HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-4624
Country	:	US
Telephone Number	:	301-820-5593
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SUNDAY OGUNDIPE
Credential	:
Telephone Number	:	301-820-5593

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “LIVING FAITH HEALTH LLC ” Practice Location

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