Healthcare Provider Details

I. General information

NPI: 1588358501
Provider Name (Legal Business Name): HANNAH OGBE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 DIX ST NE
WASHINGTON DC
20019-6965
US

IV. Provider business mailing address

5820 DIX ST NE
WASHINGTON DC
20019-6965
US

V. Phone/Fax

Practice location:
  • Phone: 240-524-0486
  • Fax:
Mailing address:
  • Phone: 170-381-4085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1720271836
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: