DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: INDIA WITHERINGTON

MEDICARE: INDIA WITHERINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor3333LA
2101YA0400XAddiction (Substance Use Disorder) Counselor1587LA
3101YP2500XProfessional Counselor6443LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316352180
Entity Type Code : Individual
Provider Name (Legal Business Name) : INDIA WITHERINGTON
Provider Business Mailing Address
First Line : 1000 CHINABERRY DR STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2455
Country : US
Telephone Number : 318-259-4676
Fax Number :
Provider Business Practice Location Address
First Line : 525 ALEXANDER ST
Second Line :
City : JONESBORO
State : LA
Zip : 71251-2001
Country : US
Telephone Number : 318-259-4676
Fax Number : 318-259-4677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2014
Last Update Date : 02/04/2025

Similar Medicare Providers

1225995640 — KELLYE HAZELWOOD
Practice Location Address:
525 ALEXANDER ST
JONESBORO, LA
71251-2001
Practice Phone: 318-259-4676
Practice Fax:
1982076501 — LATAVIA SALSBERRY
Practice Location Address:
525 ALEXANDER ST
JONESBORO, LA
71251-2001
Practice Phone: 318-259-4676
Practice Fax:
1780122812 — SHENA HENDERSON
Practice Location Address:
525 ALEXANDER ST
JONESBORO, LA
71251-2001
Practice Phone: 318-259-4676
Practice Fax:
1356876312 — KEITH WILKERSON PLPC
Practice Location Address:
525 ALEXANDER ST
JONESBORO, LA
71251-2001
Practice Phone: 318-259-4676
Practice Fax:
1457879199 — VIRGINIA LEWIS
Practice Location Address:
525 ALEXANDER ST
JONESBORO, LA
71251-2001
Practice Phone: 318-259-4676
Practice Fax:
1205354974 — MISS-LOU ADDICTION CLINIC
Practice Location Address:
525 ALEXANDER ST
JONESBORO, LA
71251-2001
Practice Phone: 601-442-0270
Practice Fax: 888-981-2815

Directions to “ INDIA WITHERINGTON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.