Healthcare Provider Details

I. General information

NPI: 1003401639
Provider Name (Legal Business Name): GRACE INSPIRE BEHAVIORAL HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 NICOL CIR
BOWIE MD
20721-2956
US

IV. Provider business mailing address

9103 WOODMORE CENTER DR UNIT 412
LANHAM MD
20706-1653
US

V. Phone/Fax

Practice location:
  • Phone: 240-361-9242
  • Fax: 240-361-9255
Mailing address:
  • Phone: 240-361-9242
  • Fax: 240-361-9255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIA HARRISON-NWACHUKWA
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 240-361-9242