Provider Demographics
NPI:1003308115
Name:LASHLEY, EMBERLY JOE (LMHC)
Entity Type:Individual
Prefix:
First Name:EMBERLY
Middle Name:JOE
Last Name:LASHLEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:EMBERLY
Other - Middle Name:JOE
Other - Last Name:LASHLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:7405 UNIVERSITY AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-1343
Mailing Address - Country:US
Mailing Address - Phone:515-650-6844
Mailing Address - Fax:
Practice Address - Street 1:7405 UNIVERSITY AVE STE 10
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-1343
Practice Address - Country:US
Practice Address - Phone:515-650-6844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IALMHC-092012101Y00000X, 101YA0400X, 101YP2500X, 101YM0800X
101Y00000X
AZLAC-16294101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional