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

Historic Healthcare Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1306797352

Historic Healthcare Services is an Addiction (Substance Use Disorder) Counselor in Washington, District of Columbia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

1629 K St NW
Washington, DC 20006-1602
Phone: (240) 495-8331
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1306797352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joebrian Lemnyuytar — Ceo · (240) 495-8331
NPI enumeratedFebruary 5, 2026
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address1629 K St Nw, Washington, DC 20006-1602

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