MEDICARE: PATRICIA WASHINGTON LAPC

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	APC002589	GA

General Provider Information

NPI Number	:	1811852254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA WASHINGTON LAPC

Provider Business Mailing Address
First Line	:	1664 ALDERBROOK RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-4171
Country	:	US
Telephone Number	:	404-790-9429
Fax Number	:	404-790-9429

Provider Business Practice Location Address
First Line	:	1664 ALDERBROOK RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-4171
Country	:	US
Telephone Number	:	404-790-9429
Fax Number	:	404-790-9429

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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