Individual
LASHAWN BENITA HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2218 RIVERWOOD LOOP APT C, BOSSIER CITY, LA 71111-7948
(318) 465-6574
Mailing address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10783
LA
101YP2500X
Professional Counselor
PLC10783
LA
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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