Leak, Asia Vianna Mack

Leak, Asia Vianna Mack is an sole proprietor health care provider with primary practice located at 529 14Th St Nw , Washington DC 20045-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Leak, Asia Vianna Mack can be contacted via phone (202) 986-5941.

Contact Information

Primary practice address
529 14Th St Nw Washington DC 20045-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LGP9539 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LGPC00541 District of Columbia

Profile Details

NPI number 1609473750
LBN Legal business name Leak, Asia Vianna Mack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2020
Last updated Oct 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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