Healthcare Provider Details

I. General information

NPI: 1780347229
Provider Name (Legal Business Name): ALMA INTEGRATED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 BONIFANT ST STE 201F
SILVER SPRING MD
20910-3358
US

IV. Provider business mailing address

12826 OWENS GLEN DR
FAIRFAX VA
22030-8252
US

V. Phone/Fax

Practice location:
  • Phone: 202-818-8656
  • Fax:
Mailing address:
  • Phone: 703-589-8631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALMAZ ASSEFAW
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 703-589-8631