Provider Demographics
NPI:1659577914
Name:LACOUNT, LASHONYA SHAMICE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LASHONYA
Middle Name:SHAMICE
Last Name:LACOUNT
Suffix:
Gender:F
Credentials:CCC-SLP
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 275
Mailing Address - Street 2:
Mailing Address - City:EXPERIMENT
Mailing Address - State:GA
Mailing Address - Zip Code:30212-0275
Mailing Address - Country:US
Mailing Address - Phone:770-549-4707
Mailing Address - Fax:888-789-5431
Practice Address - Street 1:327 S 9TH ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4111
Practice Address - Country:US
Practice Address - Phone:770-549-4707
Practice Address - Fax:888-789-5431
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006245235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA635135223BMedicaid