Provider Demographics
NPI:1225719248
Name:LINDSAY, LASHAWNDA ANASTER
Entity Type:Individual
Prefix:DR
First Name:LASHAWNDA
Middle Name:ANASTER
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LASHAWNDA
Other - Middle Name:LINDSAY
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 GALLANT LN SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-4691
Mailing Address - Country:US
Mailing Address - Phone:678-984-0393
Mailing Address - Fax:
Practice Address - Street 1:135 BRADFORD SQ STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-1902
Practice Address - Country:US
Practice Address - Phone:678-489-8072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC008260101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health