Healthcare Provider Details

I. General information

NPI: 1851828230
Provider Name (Legal Business Name): SCHOLAR JENKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4790 NE EVANGELINE TRWY
CARENCRO LA
70520-5293
US

IV. Provider business mailing address

4790 NE EVANGELINE TRWY
CARENCRO LA
70520-5293
US

V. Phone/Fax

Practice location:
  • Phone: 337-674-4050
  • Fax: 337-284-3034
Mailing address:
  • Phone: 337-674-4050
  • Fax: 991-284-3034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: