Ieisha S Dale, LMFT

Individual provider Active NPI Marriage & Family Therapist · Washington, DC

NPI 1003309030 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1003309030
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
5225 Connecticut Ave NW Ste 705
Washington, DC 20015-1813
Phone
(240) 863-2618
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Past
since Aug 30, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

5225 Connecticut Ave NW Ste 705
Washington, DC 20015-1813

Mailing address

5225 Connecticut Ave NW Ste 705
Washington, DC 20015-1813
Phone (240) 863-2618

Other providers in Washington, DC

All providers in Washington, DC · Marriage & Family Therapist in District of Columbia

Sources for this page

Verify at the official NPI Registry.