Provider Demographics
NPI:1518486604
Name:HICKS, LATASHA ARMSTRONG (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LATASHA
Middle Name:ARMSTRONG
Last Name:HICKS
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 1:3701 SUE KER DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-1602
Mailing Address - Country:US
Mailing Address - Phone:504-428-5643
Mailing Address - Fax:
Practice Address - Street 1:3701 SUE KER DRIVE
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-1602
Practice Address - Country:US
Practice Address - Phone:504-428-5643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA114321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical