Healthcare Provider Details

I. General information

NPI: 1609784727
Provider Name (Legal Business Name): CREATING CONNECTIONS CLOSING CIRCLES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 BLADENSBURG RD NE APT B3
WASHINGTON DC
20002-2525
US

IV. Provider business mailing address

1230 BLADENSBURG RD NE APT B3
WASHINGTON DC
20002-2525
US

V. Phone/Fax

Practice location:
  • Phone: 202-557-5619
  • Fax:
Mailing address:
  • Phone: 202-557-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. EBONY T JEJE
Title or Position: FOUNDER
Credential:
Phone: 202-557-5619