Individual provider · Type 1 NPI

Shonda Lackey, PhD

Mental Health Counselor · Forest Hills, NY

NPI number 1447592829 Active

Practice location

10470 Queens Blvd
Forest Hills, NY 11375-3638

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1447592829

Shonda Lackey, PhD's National Provider Identifier is 1447592829, issued on Mar 22, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forest Hills, NY. The record was last updated on May 11, 2013.