LATOYA JACK (NPI# 1417485855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417485855 |
Entity Type | Individual |
Full Name | LATOYA JACK |
Practice Address |
4396 Gordon Woods Dr Lake Charles LA 70615-2997 |
Practice Telephone | (337) 215-0576 |
Mailing Telephone | 3372150576 |
Enumeration Date | 2017-05-30 |
Last Update Date | 2017-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083154223 | Latoya Jack | Licensed Practical Nurse | 681 Highland Ave, Peekskill, NY 10566-2347 | 2017-03-07 |
Street Address |
4396 GORDON WOODS DR |
City | LAKE CHARLES |
State | LA |
Zip Code | 70615-2997 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134648900 | Word of Hope | Nursing Care | 3975 East Prien Lake Rd, Lake Charles, LA 70615 | 2017-09-13 |
1275908725 | Ashley Jones | Counselor | 1716 Eleanor St., Lake Charles, LA 70615 | 2015-12-09 |
1669608097 | Consumer Advocacy and Resource Coordination, Inc. | Case Management | 902 Canvasback Street, Lake Charles, LA 70615 | 2009-05-29 |
1770796906 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 2412 Third Street, Lake Charles, LA 70615 | 2007-05-07 |
1376755454 | Christus Health Southwestern Louisiana | Clinic/Center | 2802 Pineview Street, Lake Charles, LA 70615 | 2007-05-03 |
1669981312 | Terri Williams | Registered Nurse | 3975 East Prien Lake Rd, Lake Charles (and Vicinity), LA 70615 | 2017-09-26 |
1053658328 | Upfront Urgent Care and Occupational Medicine | Clinic/Center | 1718 N Martin Luther King Hwy, Lake Charles, LA 70615 | 2013-01-07 |
1063726248 | Elisha Dianne Conner | Licensed Practical Nurse | 2915 Fitzenrieter Rd, Lake Charles, LA 70615-1314 | 2010-07-30 |
1790906493 | Jeannine Utzman Babineaux | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2007-05-01 |
1174800569 | Hollie Steffens Donnelly | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2011-11-14 |
Find all providers in zip 70615 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053943118 | April Tanner | Counselor | 635 Petro Point Dr Ste A, Lake Charles, LA 70607-7066 | 2020-02-06 |
1871141986 | Kiddos Therapy Konnection LLC | Counselor | 814 W Mcneese St # 241, Lake Charles, LA 70605-5426 | 2019-09-01 |
1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
1386153401 | Erica Jenkins | Counselor | 5000 Lake Street #4955, Lake Charles, LA 70606 | 2017-09-20 |
1043749542 | Briaunna Nicole Robinson | Counselor | 4510 Common St Apt 8, Lake Charles, LA 70607-5745 | 2017-06-08 |
1831628494 | Lisa Moore | Counselor | 2714 Tupelo St, Lake Charles, LA 70601-7376 | 2017-06-07 |
1164950309 | Kimberly J Evans | Counselor | 1409 Kirkman Street, Lake Charles, LA 70601-5344 | 2017-06-01 |
1346785367 | Kingdom Expressions LLC | Counselor | 1639 Ryan St Ste B, Lake Charles, LA 70601-5948 | 2016-12-29 |
1508301037 | Mental Connections of Southwest LLC Group | Counselor | 133 Jefferson Dr, Lake Charles, LA 70605-5713 | 2016-12-19 |
1497200042 | Whitney Castille | Counselor | 247 W Sallier St, Lake Charles, LA 70601-5843 | 2016-08-23 |
Find all providers in LAKE CHARLES |
City | LAKE CHARLES |
Zip Code | 70615 |
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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.