Provider Demographics
NPI:1033913009
Name:WASHINGTON, CHASSITY R (LBA)
Entity type:Individual
Prefix:
First Name:CHASSITY
Middle Name:R
Last Name:WASHINGTON
Suffix:
Gender:
Credentials:LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8385 RUSHING RD E
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-7817
Mailing Address - Country:US
Mailing Address - Phone:225-377-4139
Mailing Address - Fax:225-377-4067
Practice Address - Street 1:10993 N HARRELLS FERRY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8304
Practice Address - Country:US
Practice Address - Phone:225-377-4139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst