Healthcare Provider Details
I. General information
NPI: 1295651883
Provider Name (Legal Business Name): PATH2PEACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 K STREET NE, PH49
WASHINGTON DC
20002
US
IV. Provider business mailing address
200 K ST NE PH 49
WASHINGTON DC
20002-3192
US
V. Phone/Fax
- Phone: 720-583-4355
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHOSHANA
DOBSON
Title or Position: HEAD THERAPIST & FOUNDER
Credential: LPC
Phone: 720-583-4355