Provider Demographics
NPI:1679338545
Name:LASKOWSKI, REBECCA STRAHAN (LDN RD LPC LAC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:STRAHAN
Last Name:LASKOWSKI
Suffix:
Gender:F
Credentials:LDN RD LPC LAC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:STRAHAN-LASKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LDN RD LPC LAD
Mailing Address - Street 1:2436 TILMAN CIR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5943
Mailing Address - Country:US
Mailing Address - Phone:318-455-9862
Mailing Address - Fax:
Practice Address - Street 1:1130 KINGS HWY
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2934
Practice Address - Country:US
Practice Address - Phone:318-670-5387
Practice Address - Fax:318-670-5388
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2222101Y00000X
LA939101YA0400X
LA197133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered