MEDICARE: MS. BRENIKA NATASHA WASHINGTON LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	16903	NC

General Provider Information

NPI Number	:	1184390932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRENIKA NATASHA WASHINGTON LCMHC

Provider Business Mailing Address
First Line	:	130 EDINBURGH SOUTH DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-7902
Country	:	US
Telephone Number	:	919-462-8308
Fax Number	:	919-462-0433

Provider Business Practice Location Address
First Line	:	130 EDINBURGH SOUTH DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-7902
Country	:	US
Telephone Number	:	919-462-8308
Fax Number	:	919-462-0433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2021
Last Update Date	:	10/16/2025

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