Healthcare Provider Details

I. General information

NPI: 1386549608
Provider Name (Legal Business Name): DENISE PATRICIA ANN PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 55TH ST NE
WASHINGTON DC
20019-6784
US

IV. Provider business mailing address

13849 LORD FAIRFAX PL
UPPER MARLBORO MD
20772-5915
US

V. Phone/Fax

Practice location:
  • Phone: 202-258-9100
  • Fax:
Mailing address:
  • Phone: 240-460-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberLC302162
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: