The Healing Spot Llc | |
6218 Georgia Ave Nw Apt 1 Washington DC 20011-5125 | |
(202) 744-1008 | |
Not Available |
Full Name | The Healing Spot Llc |
---|---|
Speciality | Clinic/Center |
Location | 6218 Georgia Ave Nw Apt 1, Washington, District Of Columbia |
Authorized Official Name and Position | Melanie Mitchell (PROVIDER) |
Authorized Official Contact | 2027441008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Healing Spot Llc 6218 Georgia Ave Nw Apt 1 Washington DC 20011-5125 Ph: (202) 744-1008 | The Healing Spot Llc 6218 Georgia Ave Nw Apt 1 Washington DC 20011-5125 Ph: (202) 744-1008 |
NPI Number | 1245939149 |
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Provider Enumeration Date | 02/28/2023 |
Last Update Date | 02/28/2023 |
Certification Date | 02/28/2023 |
Medicare PECOS PAC ID | 8426411851 |
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Medicare Enrollment ID | O20230831003045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245939149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Melanie Mitchell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629296108 PECOS PAC ID: 9335502764 Enrollment ID: I20230831003191 |
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