Shine, Lasheka

Shine, Lasheka is an sole proprietor health care provider with primary practice located at 3018 Old Minden Rd Ste 1111A , Bossier City LA 71112-2476. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shine, Lasheka can be contacted via phone (318) 751-6687.

Contact Information

Primary practice address
3018 Old Minden Rd Ste 1111A Bossier City LA 71112-2476
Fax: (318) 751-6687
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904013799 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12448 Louisiana

Profile Details

NPI number 1790237048
LBN Legal business name Shine, Lasheka
Credentials LCSW-BACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2016
Last updated Oct 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790237048 NPPES
Louisiana MEDICAID 852058844
Louisiana Other 852058844

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