Provider Demographics
NPI:1124800321
Name:WASHINGTON, TONIKA NORCHELLE (COMMUNITY HEALTH WOR)
Entity type:Individual
Prefix:MRS
First Name:TONIKA
Middle Name:NORCHELLE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:COMMUNITY HEALTH WOR
Other - Prefix:
Other - First Name:TONIKA
Other - Middle Name:NORCHELLE
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COMMUNITY HEALTH WOR
Mailing Address - Street 1:1038 CASTING SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7962
Mailing Address - Country:US
Mailing Address - Phone:832-216-5995
Mailing Address - Fax:
Practice Address - Street 1:1503 ROANWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2421
Practice Address - Country:US
Practice Address - Phone:832-216-5995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-20
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
TX13457172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker