MEDICARE: MRS. TAMICKA LASHAWN NEAL MA,LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2021015200	MO

General Provider Information

NPI Number	:	1508720699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMICKA LASHAWN NEAL MA,LPC

Provider Business Mailing Address
First Line	:	PO BOX 16864
Second Line	:
City	:	RAYTOWN
State	:	MO
Zip	:	64133-0964
Country	:	US
Telephone Number	:	816-337-1717
Fax Number	:

Provider Business Practice Location Address
First Line	:	6416 LARSON CT
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-7505
Country	:	US
Telephone Number	:	816-337-1717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	01/17/2026

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