Providence Health Services, Inc is a Counselor Clinic in Washington, District Of Columbia. This organization is also known as sub part of Providence Hospital. It is located at 1140 Varnum St Ne Ste 100, Washington, DC and its contact number is 202-854-7623. The authorized person for Providence Health Services, Inc is Mitchell Lomax
who is Vice President/cfo of the clinic and his/her contact number is 667-234-2926. The primary license number for Providence Health Services, Inc is HFD01-0212 (Neurology) in District Of Columbia. Providence Health Services, Inc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Providence Health Services, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Health Services, Inc
Specialization:
Counselor
Clinic Address:
1140 Varnum St Ne Ste 100, Washington, District Of Columbia, 20017
Phone:
202-854-7623
Fax:
202-854-7616
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mitchell Lomax
Position:
Vice President/cfo
Contact Number:
667-234-2926
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health Services, Inc clinic are as mentioned below.
NPI Number:
1609031632
Parent Organization:
Providence Hospital
NPI Enumeration Date:
18 Jul, 2008
NPI Last Update On:
20 Oct, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health Services, Inc are as mentioned below.
Specialization
License Number
State
Status
Neurology
HFD01-0212
District Of Columbia
Primary
Counselor
HFD01-0212
District Of Columbia
Secondary
Psychologist
HFD01-0212
District Of Columbia
Secondary
Social Worker
HFD01-0212
District Of Columbia
Secondary
Addiction Medicine
HFD01-0212
District Of Columbia
Secondary
Behavioral Neurology & Neuropsychiatry
HFD01-0212
District Of Columbia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
985415100
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Health Services, Inc 1150 Varnum St Ne, St Catherines Hall 102 Washington, District Of Columbia
Zip:
20017-2180
Phone Number:
202-854-4069
Fax Number:
202-269-7825
Patients can reach Providence Health Services, Inc at 1140 Varnum St Ne Ste 100, Washington, District Of Columbia or can call to book an appointment on 202-854-7623. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.