Organization
PROACTIVE PSYCHIATRY LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SHERIDAN (PRINCIPAL CLINICIAN & CEO)
(202) 640-5502
Entity
Organization
Contact information
Practice address
1718 CONNECTICUT AVE NW STE 201, WASHINGTON, DC 20009-1148
(202) 640-5502
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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