Provider Demographics
NPI:1821365156
Name:TURNER HERNDON, LAKISHA (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAKISHA
Middle Name:
Last Name:TURNER HERNDON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:LAKISHA
Other - Middle Name:SHERRELLE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:327 CEDARBROOK DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-6111
Mailing Address - Country:US
Mailing Address - Phone:919-928-6744
Mailing Address - Fax:
Practice Address - Street 1:1415 W NC HIGHWAY 54 STE 121
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5578
Practice Address - Country:US
Practice Address - Phone:919-401-2933
Practice Address - Fax:984-888-0955
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9086101YM0800X
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health