Whalio Doctors

NPI 1003055104

Lashawn Faison-Bradley, LPCPSYD

Practitioner Professional Counselor Hiram, GA

Practice location

Address
44 Darbys Crossing Dr STE 202, Hiram, GA 30141-6008
Phone
(404) 907-6635
Mailing address
8332 Office Park Dr Suite H, Douglasville, GA 30134-6937

Registered specialties (2)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC003392 (GA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence NONE (GA)

Registry record

NPI
1003055104
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Feb 2009
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.