Organization
AFFIRMATIVE SPACES PSYCHOLOGICAL SERVICES
Active
Organization
AFFIRMATIVE SPACES PSYCHOLOGICAL SERVICES
Active
Other names
Affirmative Spaces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE L. CROSBY PHD (FOUNDER AND CLINICAL DIRECTOR)
(202) 770-7067
Entity
Organization
Contact information
Practice address
1200 G ST NW STE 800, WASHINGTON, DC 20005-6705
(202) 770-7067
Mailing address
82 I ST SE APT 1307, WASHINGTON, DC 20003-3793
(678) 777-4036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518379106
COMMUNITY MENTAL HEALTH
—
Enumeration date
12/06/2019
Last updated
04/27/2020
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