| Love Your Life Healthcare Inc | |
|
1628 11th St Nw Washington DC 20001-5011 | |
| (202) 232-4270 | |
| Not Available |
| Full Name | Love Your Life Healthcare Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1628 11th St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Olatunde Ogunyemi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2022324270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Your Life Healthcare Inc 1628 11th St Nw Washington DC 20001-5011 Ph: () - | Love Your Life Healthcare Inc 1628 11th St Nw Washington DC 20001-5011 Ph: (202) 232-4270 |
| NPI Number | 1467720839 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 01/30/2014 |
| Medicare PECOS PAC ID | 9638327059 |
|---|---|
| Medicare Enrollment ID | O20120910000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467720839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ronald J Koshes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437146305 PECOS PAC ID: 0446237317 Enrollment ID: I20040630000190 |
| Provider Name | Ihuoma N Okezie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568649366 PECOS PAC ID: 7113088568 Enrollment ID: I20111025000691 |
| Provider Name | Olatunde S Ogunyemi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073839205 PECOS PAC ID: 3173771599 Enrollment ID: I20120913000030 |
| Provider Name | Folake D Aloba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255753489 PECOS PAC ID: 9436382249 Enrollment ID: I20140625000784 |
| Provider Name | Kimberly Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689043028 PECOS PAC ID: 5496022675 Enrollment ID: I20170518000024 |
| Provider Name | Cristina M Secarea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639584154 PECOS PAC ID: 4789934811 Enrollment ID: I20180911000652 |
| Provider Name | Wilhem Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699062612 PECOS PAC ID: 1153672761 Enrollment ID: I20180920002496 |
| Provider Name | Shareefah Al'uqdah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053621680 PECOS PAC ID: 9335471069 Enrollment ID: I20191030002305 |
| Provider Name | Ellainna Hong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679290183 PECOS PAC ID: 3870951189 Enrollment ID: I20230620000088 |
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