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Provider Information for 1992416523


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LASHEA MONQIUE WHITE LPC


Sex: Female

NPI: 1992416523
Last Updated: 2022-12-05
Certification Date: 2022-12-05

Details

NameValue
NPI1992416523
Enumeration Date2022-12-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4245 N CENTRAL EXPY STE 492
DALLAS, TX 75205-4231
United States

Phone: 682-422-7215 | Fax:
 
Primary Practice Address 4245 N CENTRAL EXPY STE 492
DALLAS, TX 75205-4231
United States

Phone: 682-422-7215 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
101Y00000X - Counselor
TX85232