Etw Therapeutic & Holistic Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ETW THERAPEUTIC & HOLISTIC SERVICES LLC

Practice address

7305 Baltimore Ave # A101
College Park, MD 20740-3234

Phone

(202) 743-5660

NPI assigned

Jul 28, 2021

Last updated

Nov 7, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Whitaker, PHD, LCSW-C, LICSWNPI 1225436231

Title

President/Ceo

Phone

(202) 743-5660

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Whitaker, PHD, LCSW-C, LICSW

  • Clinical Social Worker
  • Fort Washington, MD
  • NPI 1225436231
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1467125104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 SHOCKLEY CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441711",
            "telephone_number": "202-743-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 BALTIMORE AVE # A101",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403234",
            "telephone_number": "202-743-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETW THERAPEUTIC & HOLISTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "202-743-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helina Airoboma Esene, NP
• Cecile Eleh Edie Etoke
• Olatunde Etti-Williams
• Etw Therapeutic & Holistic Services LLC
• Etw Therapeutic & Holistic Services LLC
• Lisa Marie Euliss, RD, LDN
• Evolve Therapy & Wellness LLC
• Expert Smiles, Inc
• Express Healthcare, LLC
• David P Fago, PH.D.

• Adult Mental Health Clinic/Center in College Park, MD
• Providers in College Park, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.