Healthcare Provider Details

I. General information

NPI: 1669377768
Provider Name (Legal Business Name): GINGER GIRLS MEDIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
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

3213 DUKE ST # 103
ALEXANDRIA VA
22314-4533
US

V. Phone/Fax

Practice location:
  • Phone: 301-536-0263
  • Fax:
Mailing address:
  • Phone: 301-536-0263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: KEIDA-ANN ROBERTSON
Title or Position: CEO/OWNER
Credential:
Phone: 301-536-0263