Provider Demographics
NPI:1841080710
Name:JAMES, LAKISHA RENAY (APLC)
Entity type:Individual
Prefix:MS
First Name:LAKISHA
Middle Name:RENAY
Last Name:JAMES
Suffix:
Gender:F
Credentials:APLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 E MOUNT AIRY AVE APT D4
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19150-2930
Mailing Address - Country:US
Mailing Address - Phone:267-816-3858
Mailing Address - Fax:
Practice Address - Street 1:8302 OLD YORK RD STE B
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1522
Practice Address - Country:US
Practice Address - Phone:215-372-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001031101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional