| P&g Behavioral Health Services Llc | |
|
2218 Rhode Island Ave Ne Washington DC 20018-2827 | |
| (202) 526-3880 | |
| (202) 526-3944 |
| Full Name | P&g Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2218 Rhode Island Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Philip Johnson (CEO) |
| Authorized Official Contact | 2025263880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P&g Behavioral Health Services Llc 2218 Rhode Island Ave Ne Washington DC 20018-2827 Ph: (202) 526-3880 | P&g Behavioral Health Services Llc 2218 Rhode Island Ave Ne Washington DC 20018-2827 Ph: (202) 526-3880 |
| NPI Number | 1154894152 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 01/02/2019 |
| Medicare PECOS PAC ID | 1355778622 |
|---|---|
| Medicare Enrollment ID | O20200226001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154894152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Henry C Barbot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871662551 PECOS PAC ID: 6507807401 Enrollment ID: I20050520000711 |
| Provider Name | Amina Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952725152 PECOS PAC ID: 5991701419 Enrollment ID: I20160607000276 |
| Provider Name | Mohammed A Azam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619232758 PECOS PAC ID: 4486943263 Enrollment ID: I20160610001559 |
| Provider Name | Mercy Eseme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891191946 PECOS PAC ID: 8921360355 Enrollment ID: I20180326000114 |
| Provider Name | Tony A Gore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780766881 PECOS PAC ID: 7012264575 Enrollment ID: I20180716002326 |
| Provider Name | Keitha M Mcnair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568995256 PECOS PAC ID: 8426481276 Enrollment ID: I20191209001482 |
| Provider Name | Lateerah Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730517319 PECOS PAC ID: 3577894104 Enrollment ID: I20200303002142 |
| Provider Name | Garrett Cedric Cordell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659659100 PECOS PAC ID: 3779937008 Enrollment ID: I20230920003255 |
| Provider Name | Rosalyn M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962839720 PECOS PAC ID: 8325482268 Enrollment ID: I20240219001773 |
| Provider Name | Joseph D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750817268 PECOS PAC ID: 6507200441 Enrollment ID: I20240219001794 |
| Provider Name | Corrie Turpin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659873065 PECOS PAC ID: 4688018526 Enrollment ID: I20240219001827 |
| Provider Name | Markia Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811565906 PECOS PAC ID: 9032553979 Enrollment ID: I20240219001842 |
| Provider Name | Dalton T Beckles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780871483 PECOS PAC ID: 6901240803 Enrollment ID: I20240220000233 |
| Provider Name | Courtney Artis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538708235 PECOS PAC ID: 6901241306 Enrollment ID: I20240226000669 |
| Provider Name | Tino'i M Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710578810 PECOS PAC ID: 7113363680 Enrollment ID: I20240307001282 |
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