Healthcare Provider Details

I. General information

NPI: 1497141246
Provider Name (Legal Business Name): DC HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 42ND ST NW STE 200
WASHINGTON DC
20016-4623
US

IV. Provider business mailing address

4545 42ND ST NW STE 200
WASHINGTON DC
20016-4623
US

V. Phone/Fax

Practice location:
  • Phone: 202-413-4431
  • Fax:
Mailing address:
  • Phone: 202-413-4431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE DIANE SHEAHAN
Title or Position: DIRECTOR
Credential: PHD, LICSW
Phone: 202-413-4431