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General NPI Number Information
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NPI Number | 1417432733
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTHCARE CLINICS. LLC
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 4660 MARTIN LUTHER KING JR AVE SW STE A2
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City | WASHINGTON
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State | DC
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Zip | 20032-4933
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Country | US
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Telephone | 202-318-0179
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Fax |
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Provider Business Mailing Address
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Address Line | 4660 MARTIN LUTHER KING JR AVE SW STE A1
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City | WASHINGTON
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State | DC
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Zip | 20032-4958
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Country | US
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Telephone | 202-318-0179
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EMMANUEL TCHAMNA
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Credential |
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Telephone | 202-318-0179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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