Latira Jones, BSW
Individual provider Active NPI Case Manager/Care Coordinator · Vidaila, LA
NPI 1316319478 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1316319478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1644 B Carter St. Suite 2
Vidaila, LA 71373 - Phone
- (131) 841-4306
- Fax
- (131) 841-4306
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Development Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1644 B Carter St. Suite 2
Vidaila, LA 71373
Mailing address
615 Ee Wallace Blvd S
Ferriday, LA 71334-3224
Phone (318) 757-9363
Other practice location 1
615 EE Wallace blv.
Ferriday, LA 71334
Phone (318) 757-9363
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. 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.