Organization
GOTEL & THRIVE
Active
Organization
GOTEL & THRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS L GOTEL LICSW, RPT-S (OWNER/CLINICAL DIRECTOR)
(202) 430-5461
Entity
Organization
Contact information
Practice address
50 E ST SE STE 300, WASHINGTON, DC 20003-2620
(202) 430-5461
Mailing address
4400 LEE ST NE, WASHINGTON, DC 20019-3833
(202) 615-0965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861771479
—
DC
Enumeration date
03/01/2022
Last updated
03/01/2022
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