Healthcare Provider Details

I. General information

NPI: 1568384691
Provider Name (Legal Business Name): SONYA WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 WATERBURY CT STE 220
GAHANNA OH
43230-5309
US

IV. Provider business mailing address

2778 WATER OAK WAY
COLUMBUS OH
43228-8159
US

V. Phone/Fax

Practice location:
  • Phone: 260-888-6146
  • Fax:
Mailing address:
  • Phone: 260-888-6146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: