LA SHANDA TOLEFREE BA MS NPI 1003350422

NPI Information

NPI: 1003350422
Provider Name: LA SHANDA TOLEFREE, BA, MS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3536 52ND ST
KENOSHA, WI
ZIP 53144
Phone: (262) 842-0538
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La Shanda Tolefree, BA, MS is a professional counselor in Kenosha, WI. La Shanda Tolefree, BA, MS NPI is 1003350422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3536 52ND ST
KENOSHA, WI
ZIP 53144-662
Phone: (262) 842-0538
Fax: (262) 842-0539

The enumeration date for this NPI number is 12/5/2016 and was last updated on 2/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	17018131	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	17018131	OTHER	WISCONSIN	SUBSTANCE ABUSE COUNSELOR
2	100227567	MEDICAID	WISCONSIN
3	8095125	OTHER	WISCONSIN	LICENSED PROFESSIONAL COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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