Healthcare Provider Details

I. General information

NPI: 1659248508
Provider Name (Legal Business Name): ALAYJAH WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14635 S HARRELLS FERRY RD STE 3A
BATON ROUGE LA
70816-2960
US

IV. Provider business mailing address

14635 S HARRELLS FERRY RD STE 3A
BATON ROUGE LA
70816-2960
US

V. Phone/Fax

Practice location:
  • Phone: 225-349-8984
  • Fax:
Mailing address:
  • Phone: 225-349-8984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: