Healthcare Provider Details

I. General information

NPI: 1275908683
Provider Name (Legal Business Name): ROSIE ANN CUMMINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2015
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 EE WALLACE BLVD.
FERRIDAY LA
71334-2207
US

IV. Provider business mailing address

118 HWY 605
NEWELLTON LA
71357
US

V. Phone/Fax

Practice location:
  • Phone: 318-757-9363
  • Fax: 318-467-2400
Mailing address:
  • Phone: 318-467-2399
  • Fax: 318-467-2400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: