Provider Demographics
NPI:1861106239
Name:WASHINGTON, NATASHA LAVETTE (LMHCA)
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:LAVETTE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SW 7TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5216
Mailing Address - Country:US
Mailing Address - Phone:425-890-0081
Mailing Address - Fax:
Practice Address - Street 1:1000 SW 7TH ST STE B
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5216
Practice Address - Country:US
Practice Address - Phone:425-823-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61343697101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health