Provider Demographics
NPI:1972955888
Name:SMITH-POUNCY, LATOYIA
Entity type:Individual
Prefix:
First Name:LATOYIA
Middle Name:
Last Name:SMITH-POUNCY
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 1:1221 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3823
Mailing Address - Country:US
Mailing Address - Phone:318-572-9766
Mailing Address - Fax:
Practice Address - Street 1:1221 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3823
Practice Address - Country:US
Practice Address - Phone:318-572-9766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor