Sontavia Deann Washington
Counselor in Shreveport, LA. Individual provider (NPI-1).
NPI number1831773159
StatusActive
Last updated in NPPESMay 12, 2021
Details
- NPI
- 1831773159
- Entity type
- Individual (NPI-1)
- Name
- Sontavia Deann Washington
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2021
- Certification date
- May 11, 2021
- Last updated
- May 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2715 Mackey LnShreveport, LA 71118-2556
Phone 318-617-9171
Mailing address
2402 Pinehurst BlvdShreveport, LA 71104-3224
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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