ASIA VIANNA MACK LEAK (NPI# 1609473750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609473750 |
| Entity Type | Individual |
| Full Name | ASIA VIANNA MACK LEAK |
| Practice Address |
529 14th St Nw Washington DC 20045-1000 |
| Mailing Address |
94 Webster St Ne Apt 2 Washington DC 20011-4961 |
| Practice Telephone | 2029865941 |
| Mailing Telephone | 4049345214 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LGP9539 | MD | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGPC00541 | DC | Behavioral Health & Social Service Providers |
| Street Address |
529 14TH ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20045-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801569 | Kristel R. Williams | Counselor | 529 14th St Nw Ste 988, Washington, DC 20045-1904 | 2018-11-29 |
| 1730703489 | Yerneika Lopez | Counselor | 529 14th St Nw Ste 988, Washington, DC 20045-1904 | 2020-05-28 |
| 1518504174 | Alyssa Farkas | Counselor | 529 14th St Nw Ste 1170, Washington, DC 20045-2105 | 2019-12-03 |
| 1801407127 | Joanna Fils-aime | Social Worker | 529 14th St Nw Ste 1170, Washington, DC 20045-2105 | 2020-08-11 |
| 1639789209 | Amanda Buras | Social Worker | 529 14th St Nw Ste 1170, Washington, DC 20045-2105 | 2020-08-07 |
| 1033734561 | Kimberly Ngo | Counselor | 529 14th St Nw Ste 1170, Washington, DC 20045-2105 | 2020-06-10 |
| 1194116996 | Youngju Hong | Physical Therapist | 529 14th St Nw Ste 1206, Washington, DC 20045-2200 | 2015-02-15 |
| 1841715133 | Bmh Pt PC | Physical Therapist | 529 14th St Nw Ste 1206, Washington, DC 20045-2200 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1811598709 | Emily Ann Brown | Nutritionist | 4316 Alabama Ave Se, Washington, DC 20019-3001 | 2020-11-05 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| Find all providers in WASHINGTON | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225294 | Dominique Rashard Williams | Counselor | 4000 Kansas Ave Nw Apt 206, Washington, DC 20011-5743 | 2020-11-04 |
| 1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
| 1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
| 1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
| 1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
| 1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
| 1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
| 1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
| 1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
| 1164033304 | Trueyou Center | Counselor | 611 Pennsylvania Ave Se # 415, Washington, DC 20003-4303 | 2020-08-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20045 |
Please comment or provide details below to improve the information on ASIA VIANNA MACK LEAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.