Provider Demographics
NPI:1114446341
Name:DISTRICT COUNSELING AND WELLNESS CENTER, PLLC
Entity Type:Organization
Organization Name:DISTRICT COUNSELING AND WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:VENTERS
Authorized Official - Last Name:SETLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:304-890-0129
Mailing Address - Street 1:1635 R ST NW APT 32
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6430
Mailing Address - Country:US
Mailing Address - Phone:202-714-5773
Mailing Address - Fax:202-888-3454
Practice Address - Street 1:1724 20TH ST NW STE 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1355
Practice Address - Country:US
Practice Address - Phone:202-714-5773
Practice Address - Fax:202-888-3454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLMFT000181106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty