| Malachite Institute For Behavioral Health Corporation | |
|
5415 Connecticut Ave Nw Suite T43 Washington DC 20015-2765 | |
| (202) 248-0316 | |
| Not Available |
| Full Name | Malachite Institute For Behavioral Health Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5415 Connecticut Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Layla Kassem (OWNER) |
| Authorized Official Contact | 2022480316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malachite Institute For Behavioral Health Corporation 5415 Connecticut Ave Nw Suite T43 Washington DC 20015-2765 Ph: (202) 248-0316 | Malachite Institute For Behavioral Health Corporation 5415 Connecticut Ave Nw Suite T43 Washington DC 20015-2765 Ph: (202) 248-0316 |
| NPI Number | 1285006155 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285006155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY1000650 (District Of Columbia) | Primary |
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