Individual
DEMEISHA LASHA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3683 CANE RIDGE DR, ADDIS, LA 70710-2223
(225) 206-1826
Mailing address
3683 CANE RIDGE DR, ADDIS, LA 70710-2223
(225) 206-1826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2403162724901
—
LA
Enumeration date
05/21/2018
Last updated
04/26/2023
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