Provider Demographics
NPI:1235518994
Name:WASHINGTON, RENET'E (LPC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:RENET'E
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:RENET'E
Other - Middle Name:
Other - Last Name:BENJAMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3185 CHEROKEE ST. NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-6906
Mailing Address - Country:US
Mailing Address - Phone:904-576-0266
Mailing Address - Fax:678-381-1372
Practice Address - Street 1:1301 RIVERPLACE BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-9047
Practice Address - Country:US
Practice Address - Phone:904-352-9460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14724101YA0400X, 101YM0800X
GALPC010932101YM0800X
FLMH14724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty