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NPI Code Detail

MEDICARE: LAKISHA JONES CCSS

MEDICARE: LAKISHA JONES CCSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YP2500XProfessional CounselorPLC9811LA

General Provider Information

NPI Number : 1396261145
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKISHA JONES CCSS
Provider Business Mailing Address
First Line : 350 GATHWAY DR
Second Line :
City : SLIDELL
State : LA
Zip : 70461
Country : US
Telephone Number : 985-707-1410
Fax Number :
Provider Business Practice Location Address
First Line : 350 GATEWAY DR
Second Line :
City : SLIDELL
State : LA
Zip : 70461-5589
Country : US
Telephone Number : 985-707-1410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 08/29/2023

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Directions to “ LAKISHA JONES CCSS” Practice Location

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