Healthcare Provider Details

I. General information

NPI: 1942179395
Provider Name (Legal Business Name): EVIE DORCANCE TSAGUE EPSE DACHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N CHARLES ST STE 701
BALTIMORE MD
21201-3731
US

IV. Provider business mailing address

11235 OAK LEAF DR APT 1620
SILVER SPRING MD
20901-1305
US

V. Phone/Fax

Practice location:
  • Phone: 240-639-2342
  • Fax:
Mailing address:
  • Phone: 240-639-2342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: