Provider Demographics
NPI:1447968060
Name:HOUSTON, LASHONDA (MSW)
Entity type:Individual
Prefix:
First Name:LASHONDA
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 CENTRAL DR NW STE A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-2249
Mailing Address - Country:US
Mailing Address - Phone:704-912-1292
Mailing Address - Fax:
Practice Address - Street 1:1030 CENTRAL DR NW STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-2249
Practice Address - Country:US
Practice Address - Phone:704-912-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker