Provider Demographics
NPI:1669202701
Name:SYKES, LASHAE D (LPC-R)
Entity type:Individual
Prefix:
First Name:LASHAE
Middle Name:D
Last Name:SYKES
Suffix:
Gender:F
Credentials:LPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11329 CEDAR RUN RD
Mailing Address - Street 2:
Mailing Address - City:S PRINCE GEO
Mailing Address - State:VA
Mailing Address - Zip Code:23805-4105
Mailing Address - Country:US
Mailing Address - Phone:804-255-3157
Mailing Address - Fax:
Practice Address - Street 1:224 N MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2700
Practice Address - Country:US
Practice Address - Phone:804-255-3157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
VA0704016577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health