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LAQUANDA JEFFERSON
NPI 1104340256
Student in an Organized Health Care Education/Training Program in Lithia Springs, GA

Active since July 31, 2017
870 CRESTMARK DR STE 103, LITHIA SPRINGS, GA 30122(770) 672-0376(770) 672-0376 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laquanda Jefferson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAQUANDA JEFFERSON (NPI 1104340256) is an individual student in an organized health care education/training program in Lithia Springs, Georgia and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1104340256
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAQUANDA JEFFERSON
Location Address870 CRESTMARK DR STE 103Lithia Springs, GA 30122-2665
Mailing AddressPo Box 5191Douglasville, GA 30154-0004
Phone(770) 672-0376
Fax(770) 672-0376
Sole ProprietorYes
Enumeration DateJuly 31, 2017
✔ NPI 1104340256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
870 CRESTMARK DR STE 103, Lithia Springs, GA 30122
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILIAL BONDS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
870 CRESTMARK DR STE 103
LITHIA SPRINGS, GA 30122
Douglas County (770) 672-0376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laquanda Jefferson's NPI number?

The NPI number for Laquanda Jefferson is 1104340256. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Laquanda Jefferson located?

Laquanda Jefferson practices at 870 Crestmark Dr Ste 103, Lithia Springs, GA 30122. The listed phone number is (770) 672-0376.

What is Laquanda Jefferson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Laquanda Jefferson was last updated on July 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.