Healthcare Provider Details

I. General information

NPI: 1184407249
Provider Name (Legal Business Name): LEADFOCUSHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 LANDING WAY
HYATTSVILLE MD
20784-4614
US

IV. Provider business mailing address

9103 WOODMORE CENTER DR # 634
LANHAM MD
20706-1653
US

V. Phone/Fax

Practice location:
  • Phone: 216-220-7126
  • Fax:
Mailing address:
  • Phone: 571-389-1678
  • 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: LAIDE AKINBOBOLA
Title or Position: PRESIDENT
Credential:
Phone: 571-389-1678