Provider Demographics
NPI:1497951347
Name:DIVERSIFIED PSYCHOTHERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:DIVERSIFIED PSYCHOTHERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEHOT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, BCD
Authorized Official - Phone:202-483-0202
Mailing Address - Street 1:PO BOX 34632
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20043-4632
Mailing Address - Country:US
Mailing Address - Phone:202-483-0202
Mailing Address - Fax:202-483-0211
Practice Address - Street 1:1420 N ST NW
Practice Address - Street 2:SUITE 102
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2843
Practice Address - Country:US
Practice Address - Phone:202-483-0202
Practice Address - Fax:202-483-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3032831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty