Healthcare Provider Details

I. General information

NPI: 1437529583
Provider Name (Legal Business Name): JASHONDA ATKINS KNIGHTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 NORTH HAMPTON STREET
HAUGHTON LA
71037
US

IV. Provider business mailing address

PO BOX 1557
HAUGHTON LA
71037-1557
US

V. Phone/Fax

Practice location:
  • Phone: 318-560-7308
  • Fax:
Mailing address:
  • Phone: 318-621-4323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8873
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0021816
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number102452
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8873
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: