Healthcare Provider Details

I. General information

NPI: 1265103816
Provider Name (Legal Business Name): FAVOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 GATEWAY DR STE 9B
BEL AIR MD
21014-4128
US

IV. Provider business mailing address

PO BOX 444
ABINGDON MD
21009-0444
US

V. Phone/Fax

Practice location:
  • Phone: 410-403-3299
  • Fax: 410-862-4350
Mailing address:
  • Phone: 410-403-3299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TITILAYO AKINSOLA
Title or Position: PRESIDENT
Credential: DNP, PMHNP
Phone: 301-793-8791