Provider Demographics
NPI:1578822235
Name:LASHLEY, PATRICIA (MS, LPC,)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:LASHLEY
Suffix:
Gender:F
Credentials:MS, LPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 W SUNSET AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-5142
Mailing Address - Country:US
Mailing Address - Phone:479-318-2490
Mailing Address - Fax:479-318-2491
Practice Address - Street 1:1916 W SUNSET AVE STE C
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-5142
Practice Address - Country:US
Practice Address - Phone:479-318-2490
Practice Address - Fax:479-318-2491
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1507096101Y00000X
ARP1802014101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor