Provider Demographics
NPI:1285157727
Name:JONES, LATONYA RENEE (LPCA)
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:RENEE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:BELHAVEN
Mailing Address - State:NC
Mailing Address - Zip Code:27810-1392
Mailing Address - Country:US
Mailing Address - Phone:252-945-2749
Mailing Address - Fax:
Practice Address - Street 1:925C CONFERENCE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5971
Practice Address - Country:US
Practice Address - Phone:252-321-8080
Practice Address - Fax:252-321-7999
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12862101Y00000X
NC12862101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor