QUANINIKA WASHINGTON MS/LADAC/CCDP-D/MFTC NPI 1700215233

NPI Information

NPI: 1700215233
Provider Name: QUANINIKA WASHINGTON, MS/LADAC/CCDP-D/MFTC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 04D2028118

Address:
2901 S HEMLOCK ST
PINE BLUFF, AR
ZIP 71603
Phone: (870) 489-7002
Get Directions

Quaninika Washington, MS/LADAC/CCDP-D/MFTC is an addiction (substance use disorder) counselor in Pine Bluff, AR. Quaninika Washington, MS/LADAC/CCDP-D/MFTC NPI is 1700215233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 S HEMLOCK ST
PINE BLUFF, AR
ZIP 71603-783
Phone: (870) 489-7002
Fax: (870) 850-0001

The CLIA number assigned to this NPI record is 04D2028118 - other - out patient couseling with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 11/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	117	ARKANSAS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0279L	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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