DE'ANDREA LATRICE EASON


Address: 2504 Browning Road, Cleveland, MS 38732
Phone: 6628096820

DE'ANDREA LATRICE EASON (NPI# 1396250106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396250106
Entity Type Individual
Full Name DE'ANDREA LATRICE EASON
Practice Address 2504 Browning Road
Cleveland
MS 38732
Mailing Address 2504 Browning Road 520
Greenwood
MS 38930-6022
Practice Telephone 6628096820
Practice Fax Number 6629070621
Enumeration Date 2017-12-04
Last Update Date 2017-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
3877 MS Behavioral Health & Social Service Providers

Office Location

Street Address 2504 BROWNING ROAD
City CLEVELAND
State MS
Zip Code 38732

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1417194978 Bolivar Emergency Group LLC Physician Assistant 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 2009-01-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1467098822 Jordan Community Residential Counselor 2231 N Taylor Rd, Cleveland, OH 44112-3044 2019-11-20
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Competitor

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City CLEVELAND
Zip Code 38732

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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