Provider Demographics
NPI:1154056364
Name:HEART AND SOUL PSYCHOTHERAPY, PLLC
Entity Type:Organization
Organization Name:HEART AND SOUL PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:202-657-1179
Mailing Address - Street 1:1634 I ST NW STE 550
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-4069
Mailing Address - Country:US
Mailing Address - Phone:202-657-1179
Mailing Address - Fax:833-334-0358
Practice Address - Street 1:1634 I ST NW STE 550
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4069
Practice Address - Country:US
Practice Address - Phone:202-657-1179
Practice Address - Fax:833-334-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty