Provider Demographics
NPI:1699230524
Name:LASHLEY, CARMALYN F (LMFT)
Entity Type:Individual
Prefix:
First Name:CARMALYN
Middle Name:F
Last Name:LASHLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 FOXRIDGE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1556
Mailing Address - Country:US
Mailing Address - Phone:913-703-5768
Mailing Address - Fax:
Practice Address - Street 1:5505 FOXRIDGE DR STE 102
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-1556
Practice Address - Country:US
Practice Address - Phone:913-703-5768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3005106H00000X
KS3048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist