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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Development Center, LLC Past
since Oct 15, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

Verify at the official NPI Registry.