Healthcare Provider Details

I. General information

NPI: 1851282651
Provider Name (Legal Business Name): OLARIP ABRAHAM MOSHA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 BLADENSBURG RD NE
WASHINGTON DC
20018-1425
US

IV. Provider business mailing address

4717 EIDERDOWN CT
OWINGS MILLS MD
21117-6212
US

V. Phone/Fax

Practice location:
  • Phone: 202-255-2574
  • Fax:
Mailing address:
  • Phone: 202-830-9207
  • Fax:

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:
Title or Position:
Credential:
Phone: