Individual
LACOYA DANIELLE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
543 STONER AVE, SHREVEPORT, LA 71101-4122
(318) 422-0484
(318) 673-9901
Mailing address
5254 DANTON PL, KEITHVILLE, LA 71047-6557
(318) 422-0484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3953
LA
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/03/2012
Last updated
10/11/2022
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