Healthcare Provider Details

I. General information

NPI: 1811829021
Provider Name (Legal Business Name): GRACE & MERCY COMMUNITY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 LAVENDER LN
BOWIE MD
20720-4265
US

IV. Provider business mailing address

4601 PRESIDENTS DR STE 232
LANHAM MD
20706-4870
US

V. Phone/Fax

Practice location:
  • Phone: 301-441-2368
  • Fax: 301-441-2360
Mailing address:
  • Phone: 301-441-2368
  • Fax: 301-441-2360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MERCY FORLU
Title or Position: CEO
Credential: PHD, MA, BA, RN
Phone: 301-441-2368