Provider Demographics
NPI:1922301209
Name:AMIWERO-DECKER, BEATRICE TOSA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:TOSA
Last Name:AMIWERO-DECKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:BEATRICE
Other - Middle Name:TOSA
Other - Last Name:MANSARAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:5515 K ST
Mailing Address - Street 2:
Mailing Address - City:FAIRMOUNT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1345
Mailing Address - Country:US
Mailing Address - Phone:202-481-1381
Mailing Address - Fax:202-635-5995
Practice Address - Street 1:1001 LAWRENCE ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3513
Practice Address - Country:US
Practice Address - Phone:202-635-5900
Practice Address - Fax:202-635-5995
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC201101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional