# SANKOFA LYFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205767720
- **Authorized official:** MS. JERMAINE PETIT LCPC (OWNER)
- **Authorized official phone:** (410) 940-7003

## Contact information

- **Practice address:** 8865 STANFORD BLVD STE 202, COLUMBIA, MD 21045-5422
- **Practice address phone:** (240) 599-8889
- **Mailing address:** 8865 STANFORD BLVD STE 202, COLUMBIA, MD 21045-5422
- **Mailing address phone:** (240) 599-8889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2026
- **Last updated:** 05/25/2026