Provider Demographics
NPI:1982373874
Name:FELTON, TALEISHA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:TALEISHA
Middle Name:
Last Name:FELTON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:TALEISHA
Other - Middle Name:M
Other - Last Name:JACQUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-BACS
Mailing Address - Street 1:531 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:GRAMERCY
Mailing Address - State:LA
Mailing Address - Zip Code:70052-3653
Mailing Address - Country:US
Mailing Address - Phone:225-206-7583
Mailing Address - Fax:225-417-7021
Practice Address - Street 1:531 N PINE ST
Practice Address - Street 2:
Practice Address - City:GRAMERCY
Practice Address - State:LA
Practice Address - Zip Code:70052-3653
Practice Address - Country:US
Practice Address - Phone:225-206-7583
Practice Address - Fax:225-417-7021
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA106711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical