Provider Demographics
NPI:1740088426
Name:TALTON, LAKEISHA ROCHELLE (LBSW)
Entity type:Individual
Prefix:
First Name:LAKEISHA
Middle Name:ROCHELLE
Last Name:TALTON
Suffix:
Gender:
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 FOREST OAKS CIR APT 171
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6069
Mailing Address - Country:US
Mailing Address - Phone:682-392-9023
Mailing Address - Fax:
Practice Address - Street 1:2306 FOREST OAKS CIR APT 171
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6069
Practice Address - Country:US
Practice Address - Phone:682-392-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63899104100000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty