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NPI Code Detail

MEDICARE: MS. KEESHA LACHELLE JAMES MA

MEDICARE: MS. KEESHA LACHELLE JAMES MA
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
2171M00000XCase Manager/Care CoordinatorLA
3101YM0800XMental Health CounselorPLC9424LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790018364
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KEESHA LACHELLE JAMES MA
Provider Business Mailing Address
First Line : 30826 LINDER RD
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-8507
Country : US
Telephone Number : 225-665-7878
Fax Number :
Provider Business Practice Location Address
First Line : 30826 LINDER RD
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-8507
Country : US
Telephone Number : 225-665-7878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 02/27/2023

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