Lamondo Forest
Individual provider Active NPI Case Manager/Care Coordinator · Reserve, LA
NPI 1750820189 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1750820189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 206 E 12TH Ext
Reserve, LA 70084-5559 - Phone
- (985) 210-1648
- NPI assigned
- Feb 17, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
206 E 12TH Ext
Reserve, LA 70084-5559
Mailing address
206 E 12TH Ext
Reserve, LA 70084-5559
Other providers in Reserve, LA
- Laotis Dee Dennis
- Brittany Dufresne
- Jeanette Ellis
- Enhance Physical Therapy, LLC
- Family Medicine Center of Reserve
- Velissa Frank
- Gem Drugs Inc
- Gem Drugs Inc
- Gem Drugs Inc
- Gem Drugs, Inc.
All providers in Reserve, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2019. 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.