Provider Demographics
NPI:1083921365
Name:KAY, LASHAUNDA REESE (PHD, LPC, CSAC)
Entity Type:Individual
Prefix:DR
First Name:LASHAUNDA
Middle Name:REESE
Last Name:KAY
Suffix:
Gender:F
Credentials:PHD, LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702A CITY CENTER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2552
Mailing Address - Country:US
Mailing Address - Phone:757-435-5297
Mailing Address - Fax:757-594-0028
Practice Address - Street 1:702A CITY CENTER BLVD STE A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2552
Practice Address - Country:US
Practice Address - Phone:757-435-5297
Practice Address - Fax:757-594-0028
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102594101YA0400X
VA0701006051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)