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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