Healthcare Provider Details

I. General information

NPI: 1669202701
Provider Name (Legal Business Name): LASHAE D SYKES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 N MAIN ST STE 102
HOPEWELL VA
23860-2700
US

IV. Provider business mailing address

11329 CEDAR RUN RD
S PRINCE GEO VA
23805-4105
US

V. Phone/Fax

Practice location:
  • Phone: 804-255-3157
  • Fax:
Mailing address:
  • Phone: 804-255-3157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704016577
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015621
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: