Provider Demographics
NPI:1679945364
Name:BOONE, LASHONDA NICOLE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:LASHONDA
Middle Name:NICOLE
Last Name:BOONE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:LASHONDA
Other - Middle Name:NICOLE
Other - Last Name:EASTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGPC
Mailing Address - Street 1:801 WAYNE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4450
Mailing Address - Country:US
Mailing Address - Phone:301-804-3055
Mailing Address - Fax:
Practice Address - Street 1:4600 GARDEN CITY DRIVE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785
Practice Address - Country:US
Practice Address - Phone:866-530-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC6605101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional