Healthcare Provider Details

I. General information

NPI: 1336502087
Provider Name (Legal Business Name): LAKESHIA CARHEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAKESHIA CARHEE LCSW

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2715 MACKEY PL
SHREVEPORT LA
71118-2544
US

IV. Provider business mailing address

2715 MACKEY PL STE 130
SHREVEPORT LA
71118-2528
US

V. Phone/Fax

Practice location:
  • Phone: 318-220-8423
  • Fax:
Mailing address:
  • Phone: 318-775-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12990
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: