Individual
MRS. RENARTA LASHAYLA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W HICKORY AVE, BASTROP, LA 71220-4443
(318) 282-4830
Mailing address
401 W HICKORY AVE, BASTROP, LA 71220-4443
(318) 282-4830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17342
LA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
17342
LA
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
03/17/2026
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