Most Relevant Information
Provider Data
| NPI Number: | 1003513797 |
| Provider Name: | CHAVONDA HENYARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2023 |
| Last Updated: | 02/13/2023 |
Provider Practice Location
3205 NEW HIGHWAY 51 STE C
LA PLACE
LA
700686512
Practice Location Phone/Fax
| Phone: | 9856521809 |
| Fax: | 9856521809 |
Provider Mailing Location
3205 NEW HIGHWAY 51 STE C
LA PLACE
LA
700686512
Provider Mailing Phone/Fax
| Phone: | 9856521809 |
| Fax: |