| Hyacinth Wellness, Llc | |
|
1224 M St Nw Ste 200 Washington DC 20005-5225 | |
| (202) 850-0641 | |
| Not Available |
| Full Name | Hyacinth Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1224 M St Nw Ste 200, Washington, District Of Columbia |
| Authorized Official Name and Position | Tawana Fenton (CEO) |
| Authorized Official Contact | 2029060334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyacinth Wellness, Llc 2303 Irving St Se Washington DC 20020-2717 Ph: (202) 906-0334 | Hyacinth Wellness, Llc 1224 M St Nw Ste 200 Washington DC 20005-5225 Ph: (202) 850-0641 |
| NPI Number | 1467071985 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 04/14/2020 |
| Certification Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467071985 | NPI | - | NPPES |
| 1659861458 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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