Provider Demographics
NPI:1801563648
Name:LINGARD, LAKESHA TERRELL (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LAKESHA
Middle Name:TERRELL
Last Name:LINGARD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:LAKESHA
Other - Middle Name:TERRELL
Other - Last Name:BOWIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16690 NW 192ND TERRACE
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-0647
Mailing Address - Country:US
Mailing Address - Phone:352-284-0577
Mailing Address - Fax:
Practice Address - Street 1:16690 NW 192ND TERRACE
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-0647
Practice Address - Country:US
Practice Address - Phone:352-284-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7289568917OtherUNITED HEALTH GROUP
FL7289568917OtherBLUE CROSS BLUE SHIELD
FL7289568917OtherAVMED
FL7289568917Medicaid
FL7289568917OtherAETNA