Organization Active NPI

Fa3 Health Services LLC

  • Psychiatry Physician
  • Havre de Grace, MD
National Provider Identifier
1932067170
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FA3 HEALTH SERVICES LLC
Practice address
601 Revolution St Ste 1
Havre de Grace, MD 21078-3319
Phone
(667) 256-2013
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lawarence Asaf, PMHNP
Title
Owner
Phone
(301) 906-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

601 Revolution St Ste 1
Havre de Grace, MD 21078-3319

Mailing address

601 Revolution St Ste 1
Havre de Grace, MD 21078-3319
Phone (667) 256-2013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260406003739 MD Part B Supplier - Clinic/Group Practice 7618442781 Receives reassigned benefits from 1 practitioner
Practice locations: Havre de Grace, MD

National Provider Directory

National Provider Directory

Locations

601 Revolution St
Ste 1
Havre de Grace, MD 21078
Phone (667) 256-2013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1932067170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 REVOLUTION ST STE 1",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783319",
            "telephone_number": "667-256-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 REVOLUTION ST STE 1",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783319",
            "telephone_number": "667-256-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FA3 HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "ASAF",
        "authorized_official_first_name": "LAWARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-906-5377",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.