Healthcare Provider Details

I. General information

NPI: 1841083474
Provider Name (Legal Business Name): SHAKIRAH TOWNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7861 HOOPER RD STE I
BATON ROUGE LA
70811-2629
US

IV. Provider business mailing address

7861 HOOPER RD STE I
BATON ROUGE LA
70811-2629
US

V. Phone/Fax

Practice location:
  • Phone: 225-256-4559
  • Fax: 225-900-7914
Mailing address:
  • Phone: 225-256-4559
  • Fax: 225-900-7914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: