Healthcare Provider Details

I. General information

NPI: 1467360032
Provider Name (Legal Business Name): TABITHA RASKIN LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 L ST NW STE 503
WASHINGTON DC
20036-5667
US

IV. Provider business mailing address

1526 6TH ST NW APT 2
WASHINGTON DC
20001-5727
US

V. Phone/Fax

Practice location:
  • Phone: 757-703-3060
  • Fax:
Mailing address:
  • Phone: 240-604-3460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGPC200012704
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: