Healthcare Provider Details

I. General information

NPI: 1346506490
Provider Name (Legal Business Name): LENISE WASHINGTON B.S., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8323 OHARA CT
BATON ROUGE LA
70806-6513
US

IV. Provider business mailing address

605 WHITEFIELD LN
BOSSIER CITY LA
71112-4277
US

V. Phone/Fax

Practice location:
  • Phone: 225-388-9844
  • Fax: 225-388-9845
Mailing address:
  • Phone: 225-588-3097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4821
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: