Provider Demographics
NPI:1477294056
Name:ROMERO GOMEZ, HERBERTH LUIS
Entity Type:Individual
Prefix:
First Name:HERBERTH
Middle Name:LUIS
Last Name:ROMERO GOMEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 LINCOLN RD NE APT 208
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1129
Mailing Address - Country:US
Mailing Address - Phone:571-466-8067
Mailing Address - Fax:
Practice Address - Street 1:1140 3RD ST NE STE SPACES
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6274
Practice Address - Country:US
Practice Address - Phone:202-759-4638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor