Provider Demographics
NPI:1558107763
Name:JAMESLOUIS, DAESIA MONET
Entity type:Individual
Prefix:
First Name:DAESIA
Middle Name:MONET
Last Name:JAMESLOUIS
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 1:307 W 38TH ST FL 16
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-9514
Mailing Address - Country:US
Mailing Address - Phone:609-316-2429
Mailing Address - Fax:
Practice Address - Street 1:307 W 38TH ST FL 16
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-9514
Practice Address - Country:US
Practice Address - Phone:609-316-2429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health