MEDICARE: SNOBS UNLEASHED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1053259572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNOBS UNLEASHED

Provider Business Mailing Address
First Line	:	435 21ST ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4705
Country	:	US
Telephone Number	:	202-903-4469
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 21ST ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4705
Country	:	US
Telephone Number	:	202-903-4469
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LONDON WARD
Credential	:
Telephone Number	:	202-903-4469

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “SNOBS UNLEASHED ” Practice Location

Language	Start Address	Practice Location

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