Healthcare Provider Details

I. General information

NPI: 1437096963
Provider Name (Legal Business Name): FOREVER HOPE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 AVERILL RD APT 1B
ROSEDALE MD
21237-1476
US

IV. Provider business mailing address

6800 AVERILL RD APT 1B
ROSEDALE MD
21237-1476
US

V. Phone/Fax

Practice location:
  • Phone: 240-300-4315
  • Fax:
Mailing address:
  • Phone: 240-600-1162
  • Fax: 240-600-1162

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: ANNEPHIA PROCTOR
Title or Position: OWNER
Credential: ADT AND FUTURE LCPC
Phone: 240-300-4315