Healthcare Provider Details
I. General information
NPI: 1336071026
Provider Name (Legal Business Name): DISTRICT WELLNESS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
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
1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US
V. Phone/Fax
- Phone: 202-909-5670
- Fax:
- Phone:
- 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 | |
VIII. Authorized Official
Name: DR.
DONALD
NJIKAM
Title or Position: CEO
Credential:
Phone: 202-909-5670