Provider Demographics
NPI:1518131069
Name:WASHINGTON, SANDRA BEATRICE (EDD LPC LICENSED PRO)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:BEATRICE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:EDD LPC LICENSED PRO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 17TH AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212
Mailing Address - Country:US
Mailing Address - Phone:615-329-4182
Mailing Address - Fax:615-327-9399
Practice Address - Street 1:1233 17TH AVE SOUTH
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212
Practice Address - Country:US
Practice Address - Phone:615-329-4182
Practice Address - Fax:615-327-9399
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000001814101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor