Provider Demographics
NPI:1285483933
Name:LANKSTER, TAKISHA RENA (LPC)
Entity type:Individual
Prefix:
First Name:TAKISHA
Middle Name:RENA
Last Name:LANKSTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:TAKISHA
Other - Middle Name:RENA
Other - Last Name:BEAMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:710 COLES WAY
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-1739
Mailing Address - Country:US
Mailing Address - Phone:703-731-2943
Mailing Address - Fax:
Practice Address - Street 1:710 COLES WAY
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-1739
Practice Address - Country:US
Practice Address - Phone:703-731-2943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013132101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional