Provider Demographics
NPI:1891515516
Name:WOODS, LATRINA (HEALTH COACH)
Entity type:Individual
Prefix:MRS
First Name:LATRINA
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 PIETY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-6038
Mailing Address - Country:US
Mailing Address - Phone:504-256-7067
Mailing Address - Fax:
Practice Address - Street 1:2810 HIGGINS BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70162-0001
Practice Address - Country:US
Practice Address - Phone:504-256-7067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3889857171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach