LATOYA JACK
NPI 1417485855
Counselor - Mental Health in Lake Charles, LA
About Latoya Jack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATOYA JACK (NPI 1417485855) is an individual mental health provider in Lake Charles, Louisiana and active in the NPI registry since May 2017.
NPPES Registry Identity
Specialties & Licenses
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 Latoya Jack's NPI number?
The NPI number for Latoya Jack is 1417485855. It was assigned to this individual provider in the NPPES registry on May 30, 2017.
Where is Latoya Jack located?
Latoya Jack practices at 4396 Gordon Woods Dr, Lake Charles, LA 70615. The listed phone number is (337) 215-0576.
What is Latoya Jack's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Latoya Jack was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Latoya Jack · NPI 1417485855
Mental Health provider in Lake Charles, Louisiana. Individual provider, active in the CMS NPPES registry since May 30, 2017.
## Identity
- **NPI:** 1417485855 (Entity type: Individual)
- **Enumerated:** May 30, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 4396 GORDON WOODS DR, Lake Charles, LA 70615-2997
- **Phone:** (337) 215-0576
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417485855) · Data from the CMS NPPES public registry.