Organization
LASHLEY RALEIGH LPC, NCC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LASHLEY SUSANNE RALEIGH LPC, NCC (OWNER/PROVIDER)
(912) 777-2713
Entity
Organization
Contact information
Practice address
315 COMMERCIAL DR STE C3, SAVANNAH, GA 31406-3633
(912) 777-2713
(912) 335-3927
Mailing address
315 COMMERCIAL DR STE C3, SAVANNAH, GA 31406-3633
(912) 777-2713
(912) 335-3927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STHA233W1608
ANTHEM BLUE CROSS BLUE SHIELD
GA
Enumeration date
01/18/2019
Last updated
01/18/2019
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