| Spring Leaf Solutions, Llc | |
|
6323 Georgia Ave Nw Ste 200 Washington DC 20011-1141 | |
| (202) 525-3954 | |
| (202) 525-2580 |
| Full Name | Spring Leaf Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6323 Georgia Ave Nw Ste 200, Washington, District Of Columbia |
| Authorized Official Name and Position | Calvin D Dalrymple (OWNER) |
| Authorized Official Contact | 2025253954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Leaf Solutions, Llc 9501 Bluemont Ct Raleigh NC 27617-7787 Ph: (704) 906-1389 | Spring Leaf Solutions, Llc 6323 Georgia Ave Nw Ste 200 Washington DC 20011-1141 Ph: (202) 525-3954 |
| NPI Number | 1811495567 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 11/20/2023 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 4981940178 |
|---|---|
| Medicare Enrollment ID | O20190109000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811495567 | NPI | - | NPPES |
| 050983003 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Dawn Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538440342 PECOS PAC ID: 8921025149 Enrollment ID: I20051027000532 |
| Provider Name | Tracee Burroughs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992834238 PECOS PAC ID: 8224197090 Enrollment ID: I20190109000612 |
| Provider Name | Eva K Ogbuokiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982052098 PECOS PAC ID: 3274873740 Enrollment ID: I20190320002054 |
| Provider Name | Stephanie Diane Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194200147 PECOS PAC ID: 3779828496 Enrollment ID: I20240425000175 |
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