Individual
LAKETHA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1844 TITA ST, NEW ORLEANS, LA 70114-3383
(504) 452-0958
Mailing address
10001 LAKE FOREST BLVD STE 607, NEW ORLEANS, LA 70127-6201
(504) 265-1230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
09/11/2023
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