Provider Demographics
NPI:1659470151
Name:JONES, LARHONDA R (MD)
Entity Type:Individual
Prefix:DR
First Name:LARHONDA
Middle Name:R
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3394 MCKELVEY RD
Mailing Address - Street 2:STE. 116
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2531
Mailing Address - Country:US
Mailing Address - Phone:314-209-0900
Mailing Address - Fax:314-209-0912
Practice Address - Street 1:3394 MCKELVEY RD
Practice Address - Street 2:STE. 116
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2531
Practice Address - Country:US
Practice Address - Phone:314-209-0900
Practice Address - Fax:314-209-0912
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1096652084P0804X
IL036-0971942084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO481375OtherVALUE OPTIONS
MO15-44745OtherUNITED HEALTH CARE
MO370760015JONOtherPREMIERE BENEFITS
MO889413OtherMERCY CARE PLUS
IL036097194Medicaid
MO370760015JONOtherMERCY HEALTH PLAN
MO370760015JONOtherUNITY HEALTH SERVICES
MO479955OtherHEALTHLINK
MOP1505OtherPAS
MO127583OtherANTHEM BLUE CROSS BLUE SH
MO889413OtherNOVASYS HEALTH
MO15-44745OtherUNITED BEHAVIORAL HEALTH
MO260205000OtherMAGELLAN BEHAVIORAL HEALT
MO481375OtherMH/SA CLAIMS
MO7769381OtherAETNA
MO203982012Medicaid
MO7769381OtherAETNA
MO260205000OtherMAGELLAN BEHAVIORAL HEALT