Provider Demographics
NPI:1932658242
Name:POWER COUNSELING PLLC
Entity Type:Organization
Organization Name:POWER COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AZUBIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALICHE
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LICSW
Authorized Official - Phone:202-536-4403
Mailing Address - Street 1:1001 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5504
Mailing Address - Country:US
Mailing Address - Phone:202-536-4403
Mailing Address - Fax:856-839-4118
Practice Address - Street 1:1001 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 210
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5504
Practice Address - Country:US
Practice Address - Phone:202-536-4403
Practice Address - Fax:856-839-4118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POWER COUNSELING PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500809211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ243368Medicare PIN