Provider Demographics
NPI:1881388452
Name:TOLES, LASHANA (LMSW)
Entity type:Individual
Prefix:
First Name:LASHANA
Middle Name:
Last Name:TOLES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 MAPLE LEAF DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2491
Mailing Address - Country:US
Mailing Address - Phone:817-437-7007
Mailing Address - Fax:
Practice Address - Street 1:2625 MAPLE LEAF DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-2491
Practice Address - Country:US
Practice Address - Phone:817-437-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65216104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker