| Affirmative Spaces | |
|
1200 G St Nw Ste 800 Washington DC 20005-6705 | |
| (202) 770-7067 | |
| Not Available |
| Full Name | Affirmative Spaces |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1200 G St Nw Ste 800, Washington, District Of Columbia |
| Authorized Official Name and Position | Antoine L. Crosby (FOUNDER AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 2027707067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirmative Spaces 82 I St Se Apt 1307 Washington DC 20003-3793 Ph: (678) 777-4036 | Affirmative Spaces 1200 G St Nw Ste 800 Washington DC 20005-6705 Ph: (202) 770-7067 |
| NPI Number | 1841837036 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841837036 | NPI | - | NPPES |
| 1518379106 | Other | COMMUNITY MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
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