Provider Demographics
NPI:1043766223
Name:LOUISMA, JOE-HANNAH AVRIL
Entity Type:Individual
Prefix:MRS
First Name:JOE-HANNAH
Middle Name:AVRIL
Last Name:LOUISMA
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 1:293 WYCHMERE TER
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4036
Mailing Address - Country:US
Mailing Address - Phone:561-312-4718
Mailing Address - Fax:561-963-5002
Practice Address - Street 1:293 WYCHMERE TER
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4036
Practice Address - Country:US
Practice Address - Phone:561-312-4718
Practice Address - Fax:561-963-5002
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency