MEDICARE: LATOYA BURNS

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790244481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA BURNS

Provider Business Mailing Address
First Line	:	2018 LAC LA BELLE DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5235
Country	:	US
Telephone Number	:	504-473-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	2018 LAC LA BELLE DR
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-5235
Country	:	US
Telephone Number	:	504-473-8470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	03/13/2019

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Directions to “ LATOYA BURNS ” Practice Location

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