MEDICARE: IVET EUHUS

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	101YM0800X	Mental Health Counselor	LGPC200012586	DC

General Provider Information

NPI Number	:	1760327621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVET EUHUS

Provider Business Mailing Address
First Line	:	1408 C ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2363
Country	:	US
Telephone Number	:	786-523-4718
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 E ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2620
Country	:	US
Telephone Number	:	202-596-1768
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ IVET EUHUS ” Practice Location

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