Provider Demographics
NPI:1114425097
Name:L.W.THERAPEUTICS AND CONSULTING
Entity Type:Organization
Organization Name:L.W.THERAPEUTICS AND CONSULTING
Other - Org Name:L.W THERAPEUTICS & CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKIA
Authorized Official - Middle Name:LATEEFAH
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:919-423-9034
Mailing Address - Street 1:149 BALSAM FIR PL
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-3065
Mailing Address - Country:US
Mailing Address - Phone:919-333-2550
Mailing Address - Fax:919-439-6415
Practice Address - Street 1:1540 E FRONT ST STE 4
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-5492
Practice Address - Country:US
Practice Address - Phone:919-333-2550
Practice Address - Fax:919-439-6415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty