Provider Demographics
NPI:1861262214
Name:KNOWLES, LASHANTA
Entity type:Individual
Prefix:
First Name:LASHANTA
Middle Name:
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13769 CEDAR RD APT 201
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2344
Mailing Address - Country:US
Mailing Address - Phone:440-340-1843
Mailing Address - Fax:
Practice Address - Street 1:13797 CEDAR RD APT 205
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44118-2371
Practice Address - Country:US
Practice Address - Phone:440-340-1843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No374U00000XNursing Service Related ProvidersHome Health Aide