Provider Demographics
NPI:1750846416
Name:JAMES, ELONDA DANIELLE
Entity Type:Individual
Prefix:
First Name:ELONDA
Middle Name:DANIELLE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 WESTVIEW TER APT A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-1617
Mailing Address - Country:US
Mailing Address - Phone:904-480-3428
Mailing Address - Fax:
Practice Address - Street 1:1801 WESTVIEW TER APT A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-1617
Practice Address - Country:US
Practice Address - Phone:904-480-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator