Healthcare Provider Details

I. General information

NPI: 1194567693
Provider Name (Legal Business Name): MELISSA HUANG LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

1930 SHEPHERD ST NE
WASHINGTON DC
20018-3230
US

V. Phone/Fax

Practice location:
  • Phone: 202-630-3317
  • Fax:
Mailing address:
  • Phone: 202-322-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGPC200001742
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: