Healthcare Provider Details

I. General information

NPI: 1023372539
Provider Name (Legal Business Name): CARERITE TFC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 12/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7676 NEW HAMPSHIRE AVE SUITE 330
TAKOMA PARK MD
20912-7512
US

IV. Provider business mailing address

7676 NEW HAMPSHIRE AVE SUITE 330
TAKOMA PARK MD
20912-7512
US

V. Phone/Fax

Practice location:
  • Phone: 301-326-1351
  • Fax: 301-755-6388
Mailing address:
  • Phone: 301-326-1351
  • Fax: 301-755-6388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00451
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number00374
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number00374
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number00451
License Number StateMD

VIII. Authorized Official

Name: DR. FELICIA U BASSEY-AKAMUNE
Title or Position: PRESIDENT
Credential:
Phone: 301-326-1351