# ARCHIVE HEALTH MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124997804
- **Authorized official:** MS. BARBARA JENSEN (BILLER)
- **Authorized official phone:** (216) 245-5259

## Contact information

- **Practice address:** 712 H ST NE STE 47, WASHINGTON, DC 20002-3627
- **Practice address phone:** (216) 245-5259
- **Mailing address:** 712 H ST NE STE 47, WASHINGTON, DC 20002-3627
- **Mailing address phone:** (216) 245-5259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2025
- **Last updated:** 11/01/2025