Provider Demographics
NPI:1629312665
Name:GIPSON, LASHONDA (LPC, NCE)
Entity Type:Individual
Prefix:
First Name:LASHONDA
Middle Name:
Last Name:GIPSON
Suffix:
Gender:F
Credentials:LPC, NCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 750608
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70175-0608
Mailing Address - Country:US
Mailing Address - Phone:504-460-4193
Mailing Address - Fax:
Practice Address - Street 1:2601 N HULLEN ST
Practice Address - Street 2:STE. 237
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5900
Practice Address - Country:US
Practice Address - Phone:504-460-4193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3937OtherLPC