Provider Demographics
NPI:1548145204
Name:SMITH, LAKESHA S (DR, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:LAKESHA
Middle Name:S
Last Name:SMITH
Suffix:
Gender:F
Credentials:DR, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 WILLIAMSBURG DR APT 3
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-9360
Mailing Address - Country:US
Mailing Address - Phone:215-847-8347
Mailing Address - Fax:
Practice Address - Street 1:3020 WILLIAMSBURG DR APT 3
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-9360
Practice Address - Country:US
Practice Address - Phone:215-847-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC019000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional