MEDICARE: ICEY WASHINGTON-LOUIS

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	374J00000X	Doula		MA

General Provider Information

NPI Number	:	1427990472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ICEY WASHINGTON-LOUIS

Provider Business Mailing Address
First Line	:	65 WOOLSON ST APT 1
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02126-2073
Country	:	US
Telephone Number	:	857-399-7137
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 WOOLSON ST APT 1
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02126-2073
Country	:	US
Telephone Number	:	857-399-7137
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ ICEY WASHINGTON-LOUIS ” Practice Location

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