MRS. LAKEESHA DANIELLA CONYERS LAC
NPI 1417791328
Counselor - Professional in Lyndhurst, NJ
Active since June 24, 2024
About Mrs. Lakeesha Daniella Conyers Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LAKEESHA DANIELLA CONYERS LAC (NPI 1417791328) is an individual professional provider in Lyndhurst, New Jersey, licensed in New Jersey (37AC00793100) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1417791328
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LAKEESHA DANIELLA CONYERSCredential: LAC
Location Address1050 WALL ST WLyndhurst, NJ 07071-3621
Mailing Address410 Robins StRoselle, NJ 07203-1809 · (201) 595-9925
Phone(732) 982-2828
Sole ProprietorNo
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1417791328 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37AC00793100
1050 WALL ST W, Lyndhurst, NJ 07071
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Occupational Therapist (Physical Rehabilitation)
1050 WALL ST W, W STE 200
LYNDHURST, NJ 07071
LYNDHURST, NJ 07071
Anesthesiology (Pain Medicine)
1050 WALL ST W, SUITE 310
LYNDHURST, NJ 07071
LYNDHURST, NJ 07071
Surgery (Plastic and Reconstructive Surgery)
1050 WALL ST W, STE 360
LYNDHURST, NJ 07071
LYNDHURST, NJ 07071
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417791328, enumerated as an "individual" on June 24, 2024.
The provider is located at 1050 WALL ST W LYNDHURST, NJ 07071 and the phone number is (732) 982-2828.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
