Provider Demographics
NPI:1821371725
Name:JONES, LATOYA
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:JONES
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 1:175 WHALEY DR STE B&C
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-3253
Mailing Address - Country:US
Mailing Address - Phone:662-274-3220
Mailing Address - Fax:662-274-5050
Practice Address - Street 1:175 WHALEY DR STE B&C
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-3253
Practice Address - Country:US
Practice Address - Phone:662-274-3220
Practice Address - Fax:662-274-5050
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health