| Hannah Guidry Limited Liability Company | |
|
4545 42nd St Nw Ste 200 Washington DC 20016-4623 | |
| (202) 422-7736 | |
| Not Available |
| Full Name | Hannah Guidry Limited Liability Company |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4545 42nd St Nw Ste 200, Washington, District Of Columbia |
| Authorized Official Name and Position | Hannah Guidry (DIRECTOR) |
| Authorized Official Contact | 2024227736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Guidry Limited Liability Company 4545 42nd St Nw Ste 200 Washington DC 20016-4623 Ph: (202) 422-7736 | Hannah Guidry Limited Liability Company 4545 42nd St Nw Ste 200 Washington DC 20016-4623 Ph: (202) 422-7736 |
| NPI Number | 1396595815 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 5496297491 |
|---|---|
| Medicare Enrollment ID | O20240605003514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396595815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Hannah Guidry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154090116 PECOS PAC ID: 7214479229 Enrollment ID: I20240605003559 |
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