Provider Demographics
NPI:1457914681
Name:MWANGI, LASHAUN NICOLE (LPC)
Entity Type:Individual
Prefix:
First Name:LASHAUN
Middle Name:NICOLE
Last Name:MWANGI
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 1:2145 N. JOSEY LN.
Mailing Address - Street 2:SUITE 116 - 537
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006
Mailing Address - Country:US
Mailing Address - Phone:214-307-2314
Mailing Address - Fax:
Practice Address - Street 1:17740 PRESTON RD.
Practice Address - Street 2:SUITE 100-B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252
Practice Address - Country:US
Practice Address - Phone:214-307-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA