Healthcare Provider Details

I. General information

NPI: 1750252326
Provider Name (Legal Business Name): HELEN WELDEMICHAEL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10750 COLUMBIA PIKE STE 101
SILVER SPRING MD
20901-4402
US

IV. Provider business mailing address

6545 GEORGIA AVE
SILVER SPRING MD
20910
US

V. Phone/Fax

Practice location:
  • Phone: 202-992-7257
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: