Vantazia Martice Mason-Morris, MS, PLPC

Individual provider Active NPI Mental Health Counselor · Duson, LA

NPI 1962863530 · NPPES record last updated Jan 6, 2025

Key facts

NPI
1962863530
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
PLC10493 (LA)
Practice address
313 Acadian Lake Dr
Duson, LA 70529-4364
Phone
(318) 790-9953
NPI assigned
Mar 10, 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PLC10493LAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PLC10493 LA
Mental Health Counselor 101YM0800X PLC10493 LA Yes

Addresses

Primary practice location

313 Acadian Lake Dr
Duson, LA 70529-4364

Mailing address

2002 Gus Kaplan Dr
Alexandria, LA 71301-3358
Phone (318) 542-4642

Other practice location 1

313 Acadian Lake Dr
Duson, LA 70529-4364
Phone (318) 790-9953

Other providers in Duson, LA

All providers in Duson, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.