Individual
LATASHA GRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 AVENUE H, LAKE CHARLES, LA 70615-5186
(337) 433-3785
Mailing address
4012 AVENUE H, LAKE CHARLES, LA 70615-5186
(337) 433-3786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
AP10159
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP10159
LA
Other
Enumeration date
06/12/2018
Last updated
05/08/2026
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