MEDICARE: FIRST HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	101YM0800X	Mental Health Counselor
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1043964885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	354 MONTECRISTO CT
Second Line	:
City	:	SEVERN
State	:	MD
Zip	:	21144-3440
Country	:	US
Telephone Number	:	240-615-6881
Fax Number	:

Provider Business Practice Location Address
First Line	:	4411 SOUTHERN AVE
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-5639
Country	:	US
Telephone Number	:	240-615-6881
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. STANISLUS EBAI EBAN
Credential	:	PHD
Telephone Number	:	240-615-6881

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	04/08/2025

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Directions to “FIRST HEALTH SERVICES LLC ” Practice Location

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