Healthcare Provider Details

I. General information

NPI: 1467362863
Provider Name (Legal Business Name): LAESHAY AYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

3301 WHEELER RD SE
WASHINGTON DC
20032-4129
US

IV. Provider business mailing address

8710 CAMERON ST UNIT 619
SILVER SPRING MD
20910-3709
US

V. Phone/Fax

Practice location:
  • Phone: 202-562-9101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200006891
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: