Provider Demographics
NPI:1467948091
Name:L & A SERVICES
Entity Type:Organization
Organization Name:L & A SERVICES
Other - Org Name:L AND A SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWZE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:662-402-0119
Mailing Address - Street 1:1501 FERRIS DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-2943
Mailing Address - Country:US
Mailing Address - Phone:662-402-0119
Mailing Address - Fax:
Practice Address - Street 1:1300 S DAVIS AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-4312
Practice Address - Country:US
Practice Address - Phone:662-402-0119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS116142103T00000X, 103TB0200X, 103TC1900X, 103TM1800X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty