Organization
HISTORIC HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEBRIAN LEMNYUYTAR (CEO)
(240) 495-8331
Entity
Organization
Contact information
Practice address
1629 K ST NW, WASHINGTON, DC 20006-1602
(240) 495-8331
Mailing address
1629 K ST NW, WASHINGTON, DC 20006-1602
(240) 495-8331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/05/2026
Last updated
04/27/2026
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