Provider Demographics
NPI:1144805227
Name:LAHMON-MARTIN, FAITH LAJOY
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:LAJOY
Last Name:LAHMON-MARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9022 MELODY DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1605
Mailing Address - Country:US
Mailing Address - Phone:240-280-2253
Mailing Address - Fax:
Practice Address - Street 1:9022 MELODY DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1605
Practice Address - Country:US
Practice Address - Phone:240-280-2253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24354104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker