1376082214 NPI number — MS. ARIANNE LEE WASHINGTON LPC

Table of content: MS. ARIANNE LEE WASHINGTON LPC (NPI 1376082214)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376082214 NPI number — MS. ARIANNE LEE WASHINGTON LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WASHINGTON
Provider First Name:
ARIANNE
Provider Middle Name:
LEE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DABNEY
Provider Other First Name:
ARIANNE
Provider Other Middle Name:
LEE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376082214
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/21/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1901 MANHATTAN BLVD. BUILDING D.
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
HARVEY
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-610-3011
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1901 MANHATTAN BLVD. BUILDING D.
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
HARVEY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-610-3011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  6635 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com