PROGRESSIVE LIFE CENTER INC. NPI 1386786093

NPI Information

  • NPI: 1386786093
  • Provider Name: PROGRESSIVE LIFE CENTER INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1933 MONTANA AVE NE
    WASHINGTON, DC
    ZIP 20002
  • Phone: (202) 842-2016

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NPI Details

PROGRESSIVE LIFE CENTER INC. is a mental health (including community mental health center) clinic center in Washington, DC. PROGRESSIVE LIFE CENTER INC. NPI is 1386786093. The provider is registered as an organization entity type.

The provider's business location address is:

1933 MONTANA AVE NE
WASHINGTON, DC
ZIP 20002-817
Phone: (202) 842-2016
Fax: (202) 842-0604

The provider's authorized official is Tracy Ozzaline Garrett .
The authorized official title is Director Of Qi And Bhc and has the following contact phone number (202) 842-2016.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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