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NEUROSOLACE BEHAVIORAL HEALTH
NPI 1124909874
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lanham, MD

Active since September 09, 2025
7375 EXECUTIVE PL STE 1074, LANHAM, MD 20706(301) 396-7713(301) 396-7713 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About NEUROSOLACE BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Neurosolace Behavioral Health, a provider established in Lanham, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1124909874 assigned on September 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Chardai Wilson Pmhnp (Nurse Practitioner)

NPI
1124909874 Verify this NPI
Provider Name
NEUROSOLACE BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
7375 EXECUTIVE PL STE 1074 LANHAM, MD 20706
Location Phone
(301) 396-7713
Location Fax
(301) 396-7713
Mailing Address
7375 EXECUTIVE PL STE 1074 LANHAM, MD 20706
Mailing Phone
(301) 396-7713
Mailing Fax
(301) 396-7713
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2025
Last Update Date
09-09-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARDAI WILSON PMHNP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(301) 396-7713

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Frequently Asked Questions

What is NEUROSOLACE BEHAVIORAL HEALTH's NPI number?

The NPI number assigned to this healthcare provider is 1124909874, enumerated as an "organization" on September 09, 2025.

Where is the provider located?

The provider is located at 7375 EXECUTIVE PL STE 1074 LANHAM, MD 20706 and the phone number is (301) 396-7713.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).