Healthcare Provider Details
I. General information
NPI: 1235034323
Provider Name (Legal Business Name): FIRST HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7826 EASTERN AVE NW STE 406
WASHINGTON DC
20012-1316
US
IV. Provider business mailing address
7826 EASTERN AVE NW STE 406
WASHINGTON DC
20012-1316
US
V. Phone/Fax
- Phone: 240-615-6881
- Fax:
- Phone: 240-615-6881
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
STANISLUS
EBAI
EBAN
Title or Position: CEO
Credential: PHD
Phone: 240-633-6156