Healthcare Provider Details

I. General information

NPI: 1336055433
Provider Name (Legal Business Name): LAKESHA LASHAUN BINDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 CASTAWAY CIR
BRANDON MS
39047-1203
US

IV. Provider business mailing address

509 CASTAWAY CIR
BRANDON MS
39047-1203
US

V. Phone/Fax

Practice location:
  • Phone: 662-275-8273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number877758
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: