Healthcare Provider Details

I. General information

NPI: 1588594691
Provider Name (Legal Business Name): FAMILY OF GOD HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW
WASHINGTON DC
20006-1602
US

IV. Provider business mailing address

1629 K ST NW
WASHINGTON DC
20006-1602
US

V. Phone/Fax

Practice location:
  • Phone: 202-300-4590
  • Fax: 202-506-5202
Mailing address:
  • Phone: 202-300-4590
  • Fax: 202-506-5202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SOLOMON DEHEER BOATENG
Title or Position: CEO
Credential:
Phone: 202-300-4590