Healthcare Provider Details

I. General information

NPI: 1801546015
Provider Name (Legal Business Name): HUMANS & SOCIAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 03/29/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WILMINGTON PL SE APT 6
WASHINGTON DC
20032-6156
US

IV. Provider business mailing address

104 WILMINGTON PL SE APT 6
WASHINGTON DC
20032-6156
US

V. Phone/Fax

Practice location:
  • Phone: 347-439-9470
  • Fax: 347-439-9470
Mailing address:
  • Phone: 347-439-9470
  • Fax: 347-439-9470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KOSSIVI NAYO
Title or Position: PRESIDENT
Credential:
Phone: 347-439-9470