Healthcare Provider Details

I. General information

NPI: 1992497721
Provider Name (Legal Business Name): GENEVIEVE SERWAH LOVING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13535 HAYWORTH DR
POTOMAC MD
20854-6398
US

IV. Provider business mailing address

PO BOX 21331
WASHINGTON DC
20009-0831
US

V. Phone/Fax

Practice location:
  • Phone: 202-866-5382
  • Fax:
Mailing address:
  • Phone: 202-332-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC200012664
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: