Provider Demographics
NPI:1679082275
Name:WASHINGTON, NORRIS III
Entity type:Individual
Prefix:
First Name:NORRIS
Middle Name:
Last Name:WASHINGTON
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 MACARTHUR BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6871
Mailing Address - Country:US
Mailing Address - Phone:504-488-1888
Mailing Address - Fax:
Practice Address - Street 1:3630 MACARTHUR BLVD STE C
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6871
Practice Address - Country:US
Practice Address - Phone:504-488-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health