Healthcare Provider Details

I. General information

NPI: 1922573849
Provider Name (Legal Business Name): RANDI SADE' WASHINGTON MA, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2018
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 SOUTH DR STE 101
NATCHITOCHES LA
71457-5041
US

IV. Provider business mailing address

347 PEGASUS ST
NATCHITOCHES LA
71457-5009
US

V. Phone/Fax

Practice location:
  • Phone: 318-652-7748
  • Fax:
Mailing address:
  • Phone: 318-652-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7210
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number7210
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: