Provider Demographics
NPI:1528691201
Name:JONES, KERICA SHONTA
Entity type:Individual
Prefix:
First Name:KERICA
Middle Name:SHONTA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30715 BURGESS RD TRLR 95
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-1757
Mailing Address - Country:US
Mailing Address - Phone:225-503-6000
Mailing Address - Fax:
Practice Address - Street 1:7612 PICARDY AVE STE K
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4353
Practice Address - Country:US
Practice Address - Phone:225-227-2468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator