Provider Demographics
NPI:1699128900
Name:LAPHAND, DAYATRA
Entity type:Individual
Prefix:
First Name:DAYATRA
Middle Name:
Last Name:LAPHAND
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 1:8211 SUMMA AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3471
Mailing Address - Country:US
Mailing Address - Phone:225-761-1970
Mailing Address - Fax:225-761-1939
Practice Address - Street 1:1678 78TH AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807-5415
Practice Address - Country:US
Practice Address - Phone:225-281-2940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health