| Sage & Fifth Therapy Place Pllc | |
|
1250 Connecticut Ave Nw Ste 700 Washington DC 20036-2657 | |
| (202) 935-5912 | |
| Not Available |
| Full Name | Sage & Fifth Therapy Place Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1250 Connecticut Ave Nw Ste 700, Washington, District Of Columbia |
| Authorized Official Name and Position | Huma Sikandar Fatakia (FOUNDER & CEO) |
| Authorized Official Contact | 2029355912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage & Fifth Therapy Place Pllc 1250 Connecticut Ave Nw Ste 700 Washington DC 20036-2657 Ph: (202) 935-5912 | Sage & Fifth Therapy Place Pllc 1250 Connecticut Ave Nw Ste 700 Washington DC 20036-2657 Ph: (202) 935-5912 |
| NPI Number | 1760067151 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760067151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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