Provider Demographics
NPI:1053091389
Name:WASHINGTON, DARIUS MARQUIN (LAPC)
Entity type:Individual
Prefix:MR
First Name:DARIUS
Middle Name:MARQUIN
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 LINDBERGH DR NE APT 2104
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3638
Mailing Address - Country:US
Mailing Address - Phone:404-530-9754
Mailing Address - Fax:
Practice Address - Street 1:771 LINDBERGH DR NE APT 2104
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3638
Practice Address - Country:US
Practice Address - Phone:404-530-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009092101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health