Provider Demographics
NPI:1376302174
Name:ALLEN, LASHEKA D (PHD, LPA)
Entity Type:Individual
Prefix:DR
First Name:LASHEKA
Middle Name:D
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PHD, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5515
Mailing Address - Country:US
Mailing Address - Phone:919-672-6259
Mailing Address - Fax:
Practice Address - Street 1:8501 TOWER POINT DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-7849
Practice Address - Country:US
Practice Address - Phone:919-886-6056
Practice Address - Fax:877-786-5369
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6147103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical