Organization
DAWN D PRATHER LLC
Active
Other names
Revolutionary Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PRATHER LICSW, LCSW (OWNER)
(301) 254-2446
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 660-9770
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904014216
LCSW
VA
01
—
LC50080117
LICSW
DC
Enumeration date
03/19/2021
Last updated
07/21/2022
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