Wheeler, George Larry

Wheeler, George Larry is an sole proprietor health care provider with primary practice located at 3000 Connecticut Ave Nw Suite #321, Washington DC 20008-2509. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wheeler, George Larry can be contacted via phone (202) 265-2343.

Contact Information

Primary practice address
3000 Connecticut Ave Nw Suite #321 Washington DC 20008-2509
Phone: (202) 265-2343
Fax: (202) 248-9076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA095 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000097 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC217 District of Columbia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003368 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X LC0891 Maryland

Profile Details

NPI number 1417114950
LBN Legal business name Wheeler, George Larry
Credentials PSYD, LPC,CEAP,SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417114950 NPPES
Virginia MEDICAID 1073693990

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