Healthcare Provider Details

I. General information

NPI: 1518628395
Provider Name (Legal Business Name): GALAXY HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 ANNAPOLIS RD STE 103
LANHAM MD
20706-3033
US

IV. Provider business mailing address

11005 ATWELL AVE
BOWIE MD
20720-3502
US

V. Phone/Fax

Practice location:
  • Phone: 240-938-8532
  • Fax:
Mailing address:
  • Phone: 240-938-8532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/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: ANTHONIA CHINYERE OFFIAH
Title or Position: NP
Credential:
Phone: 240-938-8532