Healthcare Provider Details

I. General information

NPI: 1104747195
Provider Name (Legal Business Name): DMV HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 LAKEFOREST BLVD STE 490
GAITHERSBURG MD
20877-2639
US

IV. Provider business mailing address

101 LAKEFOREST BLVD STE 490
GAITHERSBURG MD
20877-2639
US

V. Phone/Fax

Practice location:
  • Phone: 301-437-1236
  • Fax:
Mailing address:
  • Phone: 301-437-1236
  • 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

VIII. Authorized Official

Name: SAMUEL MENSAH
Title or Position: MD
Credential:
Phone: 301-437-1236