Provider Demographics
NPI:1033563838
Name:JAMES, DONESHA
Entity Type:Individual
Prefix:
First Name:DONESHA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 FERRAND ST
Mailing Address - Street 2:SUITE 23
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3234
Mailing Address - Country:US
Mailing Address - Phone:318-323-0463
Mailing Address - Fax:318-323-0465
Practice Address - Street 1:2404 FERRAND ST
Practice Address - Street 2:SUITE 23
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-323-0463
Practice Address - Fax:318-323-0465
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health