Healthcare Provider Details

I. General information

NPI: 1184557555
Provider Name (Legal Business Name): CHERISE LASHLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 EASTERN PKWY
BROOKLYN NY
11233-4804
US

IV. Provider business mailing address

1138 SAINT MARKS AVE APT 3
BROOKLYN NY
11213-2312
US

V. Phone/Fax

Practice location:
  • Phone: 718-255-5946
  • Fax:
Mailing address:
  • Phone: 609-529-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number122372-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: