Individual
CLEOTHIS CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 E MADISON AVE, BASTROP, LA 71220-3833
(318) 239-3890
(318) 239-3891
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
(318) 574-8646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
07/12/2016
Last updated
04/08/2026
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