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NPI Code Detail

MEDICARE: BUILT TO WIN BY FAITH

MEDICARE: BUILT TO WIN BY FAITH
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1700734423
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUILT TO WIN BY FAITH
Provider Business Mailing Address
First Line : 6817 OLD BRANCH AVE
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-6905
Country : US
Telephone Number : 240-734-3467
Fax Number : 301-238-7849
Provider Business Practice Location Address
First Line : 6817 OLD BRANCH AVE
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-6905
Country : US
Telephone Number : 240-734-3467
Fax Number : 301-238-7849
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : LATIVIA SHANTE BROWN
Credential : LCPC
Telephone Number : 240-702-8168
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “BUILT TO WIN BY FAITH ” Practice Location

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