Provider Demographics
NPI:1154865152
Name:BARBER, LASAUNDRA (MS)
Entity type:Individual
Prefix:MRS
First Name:LASAUNDRA
Middle Name:
Last Name:BARBER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LASAUNDRA
Other - Middle Name:NICOLE
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NIKKI
Mailing Address - Street 1:2715 MACKEY PL
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71118-2544
Mailing Address - Country:US
Mailing Address - Phone:318-220-8423
Mailing Address - Fax:
Practice Address - Street 1:2715 MACKEY PL
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71118-2544
Practice Address - Country:US
Practice Address - Phone:318-220-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-09
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health