Healthcare Provider Details

I. General information

NPI: 1801444716
Provider Name (Legal Business Name): FORE COUNSELLING HEALTH CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 PARK AVE STE 103
BALTIMORE MD
21201-5637
US

IV. Provider business mailing address

1010 PARK AVE STE 103
BALTIMORE MD
21201-5637
US

V. Phone/Fax

Practice location:
  • Phone: 410-624-7121
  • Fax: 443-438-7063
Mailing address:
  • Phone: 410-624-7121
  • Fax: 443-438-7063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHIKA OKONKWO
Title or Position: OWNER
Credential: NP
Phone: 301-357-4053