Provider Demographics
NPI:1770477804
Name:WASHINGTON, BARRINESHA DESHAWN (MBA)
Entity type:Individual
Prefix:
First Name:BARRINESHA
Middle Name:DESHAWN
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COURT ST SE STE 105
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-3220
Mailing Address - Country:US
Mailing Address - Phone:386-209-8734
Mailing Address - Fax:
Practice Address - Street 1:100 COURT ST SE STE 105
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064-3220
Practice Address - Country:US
Practice Address - Phone:386-209-8734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor