Letitia Manuel

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

190 Captain HM Shreve Blvd
Shreveport, LA 71115-2960

Phone

(318) 458-5523

NPI assigned

Oct 30, 2015

Reactivated

Sep 24, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1255703120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CAPTAIN HM SHREVE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152960",
            "telephone_number": "318-458-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAPTAIN HM SHREVE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152960",
            "telephone_number": "318-458-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "LETITIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2018-10-01",
        "deactivation_date": "2018-06-18",
        "reactivation_date": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique M Mano
• Kaila Wildes Manshack, DC
• Ishak Mansi, M.D.
• Richard Preston Mansour, M.D.
• Jacqueline Pace Manuel
• Mary Manuel
• Mattie Manuel
• Mechelle Manuel
• Stephen Manuel, RPH
• Jacqueline Yvonne Manwaring, RSW,MA,LPC,LMFT,NCC

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.