Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101Y00000X | Counselor | LMHC-092012 | IA |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LAC-16294 | AZ |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LMHC-092012 | IA |
N | 101YM0800X | Mental Health Counselor | LAC-16294 | AZ |
Y | 101YM0800X | Mental Health Counselor | LMHC-092012 | IA |
N | 101YP2500X | Professional Counselor | LAC-16294 | AZ |
N | 101YP2500X | Professional Counselor | LMHC-092012 | IA |
NPI | 1003308115 |
---|---|
Provider Name | Emberly Joe Lashley |
First Address | Waukee, IA 50263-8534 |
Second Address | Des Moines, IA 50314-1117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2018 |
Last Update Date | 05/01/2021 |