# LIFESPAN HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifespan Healthcare, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245995513
- **Authorized official:** MS. HELEN VIBAN NP (MEDICAL DIRECTOR)
- **Authorized official phone:** (240) 593-1485

## Contact information

- **Practice address:** 1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
- **Practice address phone:** (240) 593-1485
- **Mailing address:** 8101 SANDY SPRING RD STE E-18, LAUREL, MD 20707-3596
- **Mailing address phone:** (124) 059-3148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2021
- **Last updated:** 11/07/2025