1457038051 NPI number — MRS. VANESHIA LADAMA SLEDGE LCSW

Table of content: MRS. VANESHIA LADAMA SLEDGE LCSW (NPI 1457038051)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457038051 NPI number — MRS. VANESHIA LADAMA SLEDGE LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SLEDGE
Provider First Name:
VANESHIA
Provider Middle Name:
LADAMA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FORD
Provider Other First Name:
VANESHIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
ASW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457038051
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14620 WHEELER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONROE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77302-2308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14620 WHEELER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONROE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77302-2308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-590-0225
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  137830 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 119973 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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