MEDICARE: GOOD HEALTH COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1255127759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HEALTH COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	3300 HAMPTON POINT DR APT A
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 HAMPTON POINT DR APT A
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4841
Country	:	US
Telephone Number	:	401-545-4447
Fax Number	:

Authorized Official
Title or Position	:	CEO/ CLINICAL DIRECTOR
Name	:	OLUTOYOSI AJAYI
Credential	:
Telephone Number	:	401-545-4447

Provider Enumeration Date	:	04/19/2025
Last Update Date	:	04/19/2025

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