Tashay Evans
Individual provider Active NPI Counselor · Roseland, LA
NPI 1154770147 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1154770147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 65009 Dunomes LN
Roseland, LA 70456-2133 - Phone
- (985) 687-9512
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
65009 Dunomes LN
Roseland, LA 70456-2133
Mailing address
65009 Dunomes LN
Rosland, LA 70456
Phone (985) 687-9512
Other providers in Roseland, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.