Healthcare Provider Details

I. General information

NPI: 1114391984
Provider Name (Legal Business Name): FAITH CHOYCE PLMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAITH JONES

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6045 METRO DR
KEITHVILLE LA
71047-9583
US

IV. Provider business mailing address

6045 METRO DR
KEITHVILLE LA
71047-9583
US

V. Phone/Fax

Practice location:
  • Phone: 318-771-9793
  • Fax:
Mailing address:
  • Phone: 318-771-9793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPLM1603
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: