Provider Demographics
NPI:1407747389
Name:LIPFORD, QUILISHA DASHAY-DEON (MA, LCMHCA, NCC)
Entity type:Individual
Prefix:
First Name:QUILISHA
Middle Name:DASHAY-DEON
Last Name:LIPFORD
Suffix:
Gender:F
Credentials:MA, LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 OAK LEAF DR NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-9539
Mailing Address - Country:US
Mailing Address - Phone:828-729-5433
Mailing Address - Fax:
Practice Address - Street 1:1781 TATE BLVD SE STE 202
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4252
Practice Address - Country:US
Practice Address - Phone:828-758-1320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21646101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health