Healthcare Provider Details

I. General information

NPI: 1811689755
Provider Name (Legal Business Name): RITA JONES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 E MADISON AVE
BASTROP LA
71220-3833
US

IV. Provider business mailing address

104 MONTICELLO DR
MONROE LA
71203-2919
US

V. Phone/Fax

Practice location:
  • Phone: 318-239-3890
  • Fax: 318-239-3891
Mailing address:
  • Phone: 318-791-9038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9531
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: