Provider Demographics
NPI:1982337986
Name:JOSEPH WINSTON LAFLEUR JR
Entity Type:Organization
Organization Name:JOSEPH WINSTON LAFLEUR JR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WINSTON
Authorized Official - Last Name:LAFLEUR
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSW, LICSW, LCSWC
Authorized Official - Phone:202-641-5335
Mailing Address - Street 1:100 FLORIDA AVE NE APT 1504
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3295
Mailing Address - Country:US
Mailing Address - Phone:202-641-5335
Mailing Address - Fax:814-619-0539
Practice Address - Street 1:2001 L ST NW STE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4955
Practice Address - Country:US
Practice Address - Phone:202-641-5335
Practice Address - Fax:814-619-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLC3000819OtherDCRA