| Intensify The Soul, Llc | |
|
2950 Van Ness St Nw Apt 928 Washington DC 20008-1120 | |
| (919) 827-5545 | |
| Not Available |
| Full Name | Intensify The Soul, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2950 Van Ness St Nw Apt 928, Washington, District Of Columbia |
| Authorized Official Name and Position | Lakisha Womack (OWNER) |
| Authorized Official Contact | 9198275545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensify The Soul, Llc 2950 Van Ness St Nw Apt 928 Washington DC 20008-1120 Ph: (919) 827-5545 | Intensify The Soul, Llc 2950 Van Ness St Nw Apt 928 Washington DC 20008-1120 Ph: (919) 827-5545 |
| NPI Number | 1508696733 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508696733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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