Provider Demographics
NPI:1356864292
Name:A FAMILY FRIEND LLC
Entity Type:Organization
Organization Name:A FAMILY FRIEND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC (OWNER)
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:L
Authorized Official - Last Name:GORODETSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:301-758-6562
Mailing Address - Street 1:1901 PENNSYLVANIA AVE NW STE 602
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3405
Mailing Address - Country:US
Mailing Address - Phone:301-758-6562
Mailing Address - Fax:
Practice Address - Street 1:1901 PENNSYLVANIA AVE NW STE 602
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3405
Practice Address - Country:US
Practice Address - Phone:301-758-6562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty