TIANDRA L PROVO MHS
NPI 1497230957
Counselor - Mental Health in Baton Rouge, LA

Q: What is Tiandra Provo's NPI number?

The NPI number for Tiandra Provo is 1497230957. It was assigned to this individual provider in the NPPES registry on October 1, 2018. The provider is also known as Tiandra Fields.

Q: What is Tiandra Provo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Tiandra Provo was last updated on January 26, 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.

Active since October 01, 2018

216 LOBDELL AVE, BATON ROUGE, LA 70806(225) 439-8198 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2022, Oct 1, 2018 (2 updates tracked since 2018).

On this page

About Tiandra L Provo Mhs NPPES

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

TIANDRA L PROVO MHS (NPI 1497230957) is an individual mental health provider in Baton Rouge, Louisiana and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1497230957

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTIANDRA L PROVOCredential: MHS

Location Address216 LOBDELL AVEBaton Rouge, LA 70806-4612

Mailing Address11861 Coursey BlvdBaton Rouge, LA 70816-4404 · (225) 612-8656

Phone(225) 439-8198

Sole ProprietorNo

Enumeration DateOctober 1, 2018

Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1497230957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedBehavior TechnicianTaxonomy 106S00000X

216 LOBDELL AVE, Baton Rouge, LA 70806

Open in Google Maps ↗

Other Names 1

Former Name (1)Tiandra Fields

Other Providers at the Same Location NPPES

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

JERRICK KEMOND MCCASTLE

Counselor

216 LOBDELL AVE
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 612-8656

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 Tiandra Provo's NPI number?

The NPI number for Tiandra Provo is 1497230957. It was assigned to this individual provider in the NPPES registry on October 1, 2018. The provider is also known as Tiandra Fields.

Where is Tiandra Provo located?

Tiandra Provo practices at 216 Lobdell Ave, Baton Rouge, LA 70806. The listed phone number is (225) 439-8198.

What is Tiandra Provo'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 Tiandra Provo was last updated on January 26, 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.