Organization
EHC THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIA HEIDIANN CHARLES LICSW (CLINICAL SOCIAL WORKER)
(202) 618-0754
Entity
Organization
Contact information
Practice address
113 S WEST ST STE 204, ALEXANDRIA, VA 22314-2851
(202) 618-0754
Mailing address
701 BRANDYWINE ST SE APT 101, WASHINGTON, DC 20032-3551
(202) 629-3026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
10/01/2018
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