Provider Demographics
NPI:1316114424
Name:JONES, TONISHA (MA, MHPP)
Entity type:Individual
Prefix:MRS
First Name:TONISHA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5221 BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-5117
Mailing Address - Country:US
Mailing Address - Phone:501-747-1552
Mailing Address - Fax:501-534-4906
Practice Address - Street 1:620 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-4859
Practice Address - Country:US
Practice Address - Phone:870-534-4900
Practice Address - Fax:870-539-4906
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator