Provider Demographics
NPI:1144582099
Name:JONES, LA'TONYA M (LCSW)
Entity Type:Individual
Prefix:
First Name:LA'TONYA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 VERONA STREET
Mailing Address - Street 2:
Mailing Address - City:NEWELLTON
Mailing Address - State:LA
Mailing Address - Zip Code:71357
Mailing Address - Country:US
Mailing Address - Phone:318-467-9949
Mailing Address - Fax:318-467-2093
Practice Address - Street 1:104 VERONA STREET
Practice Address - Street 2:
Practice Address - City:NEWELLTON
Practice Address - State:LA
Practice Address - Zip Code:71357
Practice Address - Country:US
Practice Address - Phone:318-467-9949
Practice Address - Fax:318-467-2093
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical