Latesha Mumphery

NPI 1700251667 · on the registry since 2015 · sole proprietor

Practice

Address: 12147 Coursey Blvd
Suite 200
Baton Rouge, LA 70816
Phone: (225) 771-8849
Fax: (225) 771-8846
Organisation at this address: Impactbehavior Health Services Llc
Impact Behavior Health Services Llc
Impact Behavior Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Sex: Female
Record last updated: 2015-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana