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General NPI Number Information
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NPI Number | 1659577914
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Entity Type | Individual
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Provider Name | LASHONYA SHAMICE LACOUNT CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 327 S 9TH ST
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City | GRIFFIN
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State | GA
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Zip | 30224-4111
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Country | US
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Telephone | 770-549-4707
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Fax | 888-789-5431
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | EXPERIMENT
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State | GA
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Zip | 30212-0275
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Country | US
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Telephone | 770-549-4707
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Fax | 888-789-5431
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP006245
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License Number State | GA
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