Mattox, Shewanna

Mattox, Shewanna is an individual health care provider with primary practice located at 2119 Oak Park Blvd , Lake Charles LA 70601. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Mattox, Shewanna can be contacted via phone (337) 497-0034.

Contact Information

Primary practice address
2119 Oak Park Blvd Lake Charles LA 70601
Phone: (337) 497-0034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1902279078
LBN Legal business name Mattox, Shewanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Jun 1st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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