| The Healing Palace | |
|
4733 Brooks St Ne Washington DC 20019-4655 | |
| (202) 297-1550 | |
| Not Available |
| Full Name | The Healing Palace |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4733 Brooks St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Tabitha Morris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2022971550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Palace 4733 Brooks St Ne Washington DC 20019-4655 Ph: (202) 297-1550 | The Healing Palace 4733 Brooks St Ne Washington DC 20019-4655 Ph: (202) 297-1550 |
| NPI Number | 1205501376 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 3173916285 |
|---|---|
| Medicare Enrollment ID | O20220215000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205501376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tabitha Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073045639 PECOS PAC ID: 6800289919 Enrollment ID: I20220215000066 |
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