Provider Demographics
NPI:1003601097
Name:FAVOR LLC
Entity type:Organization
Organization Name:FAVOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TITILAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-793-8791
Mailing Address - Street 1:260 GATEWAY DR STE 9B
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4128
Mailing Address - Country:US
Mailing Address - Phone:410-403-3299
Mailing Address - Fax:410-862-4350
Practice Address - Street 1:260 GATEWAY DR STE 9B
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4128
Practice Address - Country:US
Practice Address - Phone:410-403-3299
Practice Address - Fax:410-862-4350
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAVOR LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)