Provider Demographics
NPI:1386954915
Name:FORD-LADLER, LASHONDA ROCHAE (LPC)
Entity type:Individual
Prefix:
First Name:LASHONDA
Middle Name:ROCHAE
Last Name:FORD-LADLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LASHONDA
Other - Middle Name:ROCHAE
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 84753
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0010
Mailing Address - Country:US
Mailing Address - Phone:832-754-8771
Mailing Address - Fax:
Practice Address - Street 1:3515 STONHAM ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-3819
Practice Address - Country:US
Practice Address - Phone:832-754-8771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-17
Last Update Date:2011-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional