Healthcare Provider Details

I. General information

NPI: 1477487379
Provider Name (Legal Business Name): DIAMOND HEALTHCARE ADVOCATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
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

8435 ICE CRYSTAL DR
LAUREL MD
20723-2006
US

V. Phone/Fax

Practice location:
  • Phone: 240-701-4354
  • Fax:
Mailing address:
  • Phone: 240-441-5124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KENNETH CHO NDIKUM
Title or Position: CEO
Credential: CPA
Phone: 240-441-5124