Healthcare Provider Details

I. General information

NPI: 1760327621
Provider Name (Legal Business Name): IVET EUHUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E ST SE
WASHINGTON DC
20003-2620
US

IV. Provider business mailing address

1408 C ST SE
WASHINGTON DC
20003-2363
US

V. Phone/Fax

Practice location:
  • Phone: 202-596-1768
  • Fax:
Mailing address:
  • Phone: 786-523-4718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGPC200012586
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: