Provider Demographics
NPI:1083296354
Name:2 LITTLE WOMEN TRANS LLC
Entity Type:Organization
Organization Name:2 LITTLE WOMEN TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCHEMEKIA
Authorized Official - Middle Name:LASHUN
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-592-3522
Mailing Address - Street 1:184 THEO AVE
Mailing Address - Street 2:
Mailing Address - City:PORT BARRE
Mailing Address - State:LA
Mailing Address - Zip Code:70577-5209
Mailing Address - Country:US
Mailing Address - Phone:337-592-3522
Mailing Address - Fax:
Practice Address - Street 1:184 THEO AVE
Practice Address - Street 2:
Practice Address - City:PORT BARRE
Practice Address - State:LA
Practice Address - Zip Code:70577-5209
Practice Address - Country:US
Practice Address - Phone:337-592-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty