Healthcare Provider Details

I. General information

NPI: 1922920800
Provider Name (Legal Business Name): LASHAUNDA JANEICE REESE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 PEACHTREE DUNWOODY
SANDY SPRINGS GA
30342-1764
US

IV. Provider business mailing address

2190 NORTHLAKE PKWY APT 2302
TUCKER GA
30084-4124
US

V. Phone/Fax

Practice location:
  • Phone: 470-662-3732
  • Fax:
Mailing address:
  • Phone: 678-469-1419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174V00000X
TaxonomyClinical Ethicist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: