Provider Demographics
NPI:1609296524
Name:HARRIS, LASHAYLA (CRT)
Entity Type:Individual
Prefix:
First Name:LASHAYLA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70392-4146
Mailing Address - Country:US
Mailing Address - Phone:985-498-1576
Mailing Address - Fax:
Practice Address - Street 1:410 CHARLOTTE DR
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:LA
Practice Address - Zip Code:70392-4146
Practice Address - Country:US
Practice Address - Phone:985-498-1576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
LALRT.000522227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified