Organization
S. WASHINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDAE WASHINGTON LMFT (OWNER)
(302) 593-3487
Entity
Organization
Contact information
Practice address
3606 BOULEVARD STE D, COLONIAL HEIGHTS, VA 23834-1341
(302) 593-3487
(804) 251-1416
Mailing address
PO BOX 3715, CHESTER, VA 23831-8468
(302) 593-3487
(804) 251-1416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568865855
—
VA
Enumeration date
04/18/2018
Last updated
04/18/2018
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