Provider Demographics
NPI:1578238176
Name:KNIGHT, LAKEYTA TAMIEKA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:LAKEYTA
Middle Name:TAMIEKA
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S KNOX ST APT SUITE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3630
Mailing Address - Country:US
Mailing Address - Phone:334-304-5006
Mailing Address - Fax:
Practice Address - Street 1:208 S KNOX ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3630
Practice Address - Country:US
Practice Address - Phone:334-304-5006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4305G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6482189Medicaid