| Reignite Psychological & Consulting Services, Llc | |
|
2001 Benning Rd Ne Fl 2 Washington DC 20002-4728 | |
| (202) 595-9003 | |
| (202) 595-9009 |
| Full Name | Reignite Psychological & Consulting Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2001 Benning Rd Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Laytrayal Simmons (PSYCHOLOGIST) |
| Authorized Official Contact | 2025959003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reignite Psychological & Consulting Services, Llc 2001 Benning Rd Ne Fl 2 Washington DC 20002-4728 Ph: (202) 595-9003 | Reignite Psychological & Consulting Services, Llc 2001 Benning Rd Ne Fl 2 Washington DC 20002-4728 Ph: (202) 595-9003 |
| NPI Number | 1043756224 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Medicare PECOS PAC ID | 9739462581 |
|---|---|
| Medicare Enrollment ID | O20170202000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043756224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY1001159 (District Of Columbia) | Primary |
| Provider Name | Laytrayal A Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639415219 PECOS PAC ID: 9436432283 Enrollment ID: I20170217000254 |
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