Provider Demographics
NPI:1750834024
Name:EPPS, LASHANNON PATRICE (LPC)
Entity Type:Individual
Prefix:MISS
First Name:LASHANNON
Middle Name:PATRICE
Last Name:EPPS
Suffix:
Gender:F
Credentials:LPC
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 800154
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-0003
Mailing Address - Country:US
Mailing Address - Phone:706-443-5433
Mailing Address - Fax:844-843-2957
Practice Address - Street 1:1111 MOOTY BRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-1742
Practice Address - Country:US
Practice Address - Phone:706-443-5433
Practice Address - Fax:844-843-2957
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-03
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional