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NPI Code Detail

MEDICARE: HOPE4LIFE

MEDICARE: HOPE4LIFE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1932057098
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE4LIFE
Provider Business Mailing Address
First Line : 5521 COLORADO AVE NW APT 304
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-7818
Country : US
Telephone Number : 202-669-1501
Fax Number :
Provider Business Practice Location Address
First Line : 5521 COLORADO AVE NW APT 304
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-7818
Country : US
Telephone Number : 202-669-1501
Fax Number :
Authorized Official
Title or Position : CEO
Name : EDITH SWIRI MISHIMBO
Credential :
Telephone Number : 202-669-1501
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “HOPE4LIFE ” Practice Location

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