Healthcare Provider Details

I. General information

NPI: 1205643822
Provider Name (Legal Business Name): FRONTLINE MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 MASSACHUSETTS AVE NW
WASHINGTON DC
20005-4604
US

IV. Provider business mailing address

1201 CONNECTICUT AVE NW STE 531
WASHINGTON DC
20036-2729
US

V. Phone/Fax

Practice location:
  • Phone: 202-968-3886
  • Fax: 888-622-3693
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH COMSTOCK
Title or Position: FOUNDER
Credential: MSN, APRN, PMHNP-BC
Phone: 202-240-8453