Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aglow Recovery Healthcare Services

Organization Multi-Specialty Clinic/Center · NPI 1710699137

Aglow Recovery Healthcare Services is a Multi-Specialty Clinic/Center in Washington, District of Columbia. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

1647 Benning Rd NE Ste 300A
Washington, DC 20002-4572
Phone: (202) 621-8713
Fax: (202) 946-7091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1710699137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerniba Ghoneim — Co-Owner · (202) 621-8713
NPI enumeratedDecember 16, 2022
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address2490 Market St Ne # 630, Washington, DC 20018-3851

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