Healthcare Provider Details

I. General information

NPI: 1770053142
Provider Name (Legal Business Name): RHONDA LASHA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 PINES RD STE 1104
SHREVEPORT LA
71129-3900
US

IV. Provider business mailing address

3126 BERT KOUN LOOP APT 281
SHREVEPORT LA
71118-2968
US

V. Phone/Fax

Practice location:
  • Phone: 318-670-8313
  • Fax:
Mailing address:
  • Phone: 318-288-9010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: