Healthcare Provider Details

I. General information

NPI: 1801422829
Provider Name (Legal Business Name): GIVING L.I.F. E LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2020
Last Update Date: 03/21/2020
Certification Date: 03/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 I ST NW STE 400E
WASHINGTON DC
20005-3318
US

IV. Provider business mailing address

1300 I ST NW STE 400E
WASHINGTON DC
20005-3318
US

V. Phone/Fax

Practice location:
  • Phone: 202-681-2475
  • Fax:
Mailing address:
  • Phone: 202-681-2475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: GEORGGETTA HOWIE
Title or Position: OWNER
Credential:
Phone: 571-265-6297