# WICKS PSYCHOTHERAPY

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

## Provider details

- **NPI number:** 1225845928
- **Authorized official:** DR. TIFFANY EVONNE WICKS LCPC, LPC (COUNSELOR)
- **Authorized official phone:** (202) 455-4550

## Contact information

- **Practice address:** 1050 30TH ST NW STE 221, WASHINGTON, DC 20007-3822
- **Practice address phone:** (202) 455-4550
- **Mailing address:** 1050 30TH ST NW STE 221, WASHINGTON, DC 20007-3822
- **Mailing address phone:** (202) 455-4550

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2024
- **Last updated:** 09/22/2025
