Healthcare Provider Details
I. General information
NPI: 1306688981
Provider Name (Legal Business Name): THE NEHEMIAH PROJECT, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5002 SHERIFF RD NE
WASHINGTON DC
20019-5530
US
IV. Provider business mailing address
342 HARRY S TRUMAN DR
UPPER MARLBORO MD
20774-2018
US
V. Phone/Fax
- Phone: 202-607-8769
- Fax:
- Phone: 202-607-8769
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RALPH
JEROME
WILLIAMS
JR.
Title or Position: CEO
Credential: LPC
Phone: 202-607-8769