Healthcare Provider Details

I. General information

NPI: 1215434204
Provider Name (Legal Business Name): TASHA DODSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 RICHMOND HWY STE 2414
ALEXANDRIA VA
22305-3044
US

IV. Provider business mailing address

3436 BELLWICK BAY DR
SLIDELL LA
70461-3416
US

V. Phone/Fax

Practice location:
  • Phone: 240-270-3636
  • Fax:
Mailing address:
  • Phone: 240-229-5348
  • Fax: 855-644-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC8428
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10376
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701008045
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: