MEDICARE: MODEST CARE SERVICES LLC

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	:	1912836537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODEST CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	6785 CHERRYWOOD DR
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-4214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6785 CHERRYWOOD DR
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-4214
Country	:	US
Telephone Number	:	409-269-0911
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	LATOYA RENEE JONES
Credential	:	LPC
Telephone Number	:	409-499-3429

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	06/06/2026

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Directions to “MODEST CARE SERVICES LLC ” Practice Location

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