Provider Demographics
NPI:1528589892
Name:PIERCE, LATOYA ANDERSON (PLPC)
Entity Type:Individual
Prefix:DR
First Name:LATOYA
Middle Name:ANDERSON
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 OLD WIRE RD
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-9504
Mailing Address - Country:US
Mailing Address - Phone:318-497-3418
Mailing Address - Fax:
Practice Address - Street 1:2106 N 7TH ST STE 129
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4483
Practice Address - Country:US
Practice Address - Phone:318-460-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health