Healthcare Provider Details

I. General information

NPI: 1811602873
Provider Name (Legal Business Name): SASHA WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 TAYLOR ST NW
WASHINGTON DC
20011-5509
US

IV. Provider business mailing address

1433 TAYLOR ST NW
WASHINGTON DC
20011-5509
US

V. Phone/Fax

Practice location:
  • Phone: 301-601-1411
  • Fax:
Mailing address:
  • Phone: 301-601-1411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MS. SASHA S BISCHOFF
Title or Position: OWNER
Credential: MS, LDN, CNS, CHHC
Phone: 301-602-1411