Provider Demographics
NPI:1003156597
Name:WASHINGTON, NAKEISHA QUIAN (LPC)
Entity Type:Individual
Prefix:
First Name:NAKEISHA
Middle Name:QUIAN
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NAKEISHA M.A., LPC
Other - Middle Name:QUIAN
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:5616 FM 1960 RD E
Mailing Address - Street 2:SUITE 216
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2739
Mailing Address - Country:US
Mailing Address - Phone:832-723-7177
Mailing Address - Fax:
Practice Address - Street 1:5616 FM 1960 RD E
Practice Address - Street 2:SUITE 216
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2739
Practice Address - Country:US
Practice Address - Phone:832-723-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional