LATOYA JACK


Address: 4396 Gordon Woods Dr, Lake Charles, LA 70615-2997
Phone: (337) 215-0576

LATOYA JACK (NPI# 1417485855) 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) 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

Taxonomy

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

Other Providers LATOYA JACK

NPI Name Taxonomy Address Enumeration
1083154223 Latoya Jack Licensed Practical Nurse 681 Highland Ave, Peekskill, NY 10566-2347 2017-03-07

Office Location

Street Address 4396 GORDON WOODS DR
City LAKE CHARLES
State LA
Zip Code 70615-2997

Providers in the same zip code

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
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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...

Providers in the same taxonomy and city

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
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Competitor

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City LAKE CHARLES
Zip Code 70615

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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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