Nacosha Lee Caviness-Anderson
Case Manager/Care Coordinator in Covington, LA. Individual provider (NPI-1).
NPI number1194045179
StatusActive
Last updated in NPPESNov 12, 2018
Details
- NPI
- 1194045179
- Entity type
- Individual (NPI-1)
- Name
- Nacosha Lee Caviness-Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2010
- Last updated
- Nov 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 7559 | LA | Yes |
| 101YM0800X | Counselor, Mental Health | – | MS | |
| 164W00000X | Licensed Practical Nurse | P324180 | MS |
Practice location
60 Louis Prima DrCovington, LA 70433-5903
Phone 985-327-5427 · Fax 985-327-8800
Mailing address
1323 Poplar AveGulfport, MS 39507-2044
Phone 228-497-0690
Other practice locations
1635 Popps Ferry Rd Ste D
Biloxi, MS 39532
Biloxi, MS 39532
Phone 228-207-0735
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