Healthcare Provider Details

I. General information

NPI: 1912801325
Provider Name (Legal Business Name): FOCUSWELL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST STE 201
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

6605 WILLOW CREEK RD
BOWIE MD
20720-3324
US

V. Phone/Fax

Practice location:
  • Phone: 227-206-7988
  • Fax:
Mailing address:
  • Phone: 227-770-0744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FAROOQ BAIG
Title or Position: CREDENTIALING & CONTRACT SPECIALIST
Credential:
Phone: 227-770-0744