Provider Demographics
NPI:1104475714
Name:WASHINGTON, LACHE'
Entity type:Individual
Prefix:
First Name:LACHE'
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 W VILLAGE AVE APT 5016
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-5228
Mailing Address - Country:US
Mailing Address - Phone:202-374-1933
Mailing Address - Fax:
Practice Address - Street 1:4301 W VILLAGE AVE APT 5016
Practice Address - Street 2:
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-5228
Practice Address - Country:US
Practice Address - Phone:202-374-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician