Healthcare Provider Details

I. General information

NPI: 1689124208
Provider Name (Legal Business Name): FREEDOM SADIQ DOWDY LPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

2351 24TH ST SE APT 1827
WASHINGTON DC
20020-3426
US

V. Phone/Fax

Practice location:
  • Phone: 202-827-9760
  • Fax: 202-544-2075
Mailing address:
  • Phone: 202-827-9760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPRC14292
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC14292
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC14292
License Number StateDC

VIII. Authorized Official

Name: FREEDOM SADIQ DOWDY
Title or Position: OWNER/OPERATOR
Credential: LPC
Phone: 202-510-4192