Gotel & Thrive | |
50 E St Se Ste 300 Washington DC 20003-2620 | |
(202) 430-5461 | |
Not Available |
Full Name | Gotel & Thrive |
---|---|
Speciality | Social Worker - Clinical |
Location | 50 E St Se Ste 300, Washington, District Of Columbia |
Authorized Official Name and Position | Douglas L Gotel (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 2024305461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gotel & Thrive 4400 Lee St Ne Washington DC 20019-3833 Ph: (202) 615-0965 | Gotel & Thrive 50 E St Se Ste 300 Washington DC 20003-2620 Ph: (202) 430-5461 |
NPI Number | 1235885096 |
---|---|
Provider Enumeration Date | 03/01/2022 |
Last Update Date | 03/01/2022 |
Certification Date | 03/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235885096 | NPI | - | NPPES |
1861771479 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
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