Healthcare Provider Details

I. General information

NPI: 1346144201
Provider Name (Legal Business Name): FAITH CHAMBLEE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 COLUMBIA RD NW
WASHINGTON DC
20009-4705
US

IV. Provider business mailing address

1507 ISHERWOOD ST NE APT 4
WASHINGTON DC
20002-5564
US

V. Phone/Fax

Practice location:
  • Phone: 202-319-2225
  • Fax:
Mailing address:
  • Phone: 919-605-7725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: