MS. LAKEISHA THEDFORD
NPI 1891220745
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since April 28, 2017
1963 N E ST, SAN BERNARDINO, CA 92405(909) 881-6146(909) 881-3479 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Lakeisha Thedford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LAKEISHA THEDFORD (NPI 1891220745) is an individual addiction (substance use disorder) provider in San Bernardino, California and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1891220745
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. LAKEISHA THEDFORD
Location Address1963 N E STSan Bernardino, CA 92405-3919
Mailing Address1963 N E StSan Bernardino, CA 92405-3919 · (909) 881-6146 · Fax (909) 881-3479
Fax(909) 881-3479
Sole ProprietorNo
Enumeration DateApril 28, 2017
NPI 1891220745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1963 N E ST, San Bernardino, CA 92405

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
Counselor
1963 N E ST
SAN BERNARDINO, CA 92405
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
Student in an Organized Health Care Education/Training Program
1963 N E ST
SAN BERNARDINO, CA 92405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeisha Thedford's NPI number?

The NPI number for Lakeisha Thedford is 1891220745. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Lakeisha Thedford located?

Lakeisha Thedford practices at 1963 N E St, San Bernardino, CA 92405. The listed phone number is (909) 881-6146.

What is Lakeisha Thedford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lakeisha Thedford was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.