Healthcare Provider Details

I. General information

NPI: 1992658363
Provider Name (Legal Business Name): ALEEAH MUHAMMAD WASHINGTON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

592 LORY LN
GROVETOWN GA
30813-4876
US

IV. Provider business mailing address

592 LORY LN
GROVETOWN GA
30813-4876
US

V. Phone/Fax

Practice location:
  • Phone: 478-841-6603
  • Fax:
Mailing address:
  • Phone: 478-841-6603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT002274
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: