Individual ProviderLatasha MarshallCase Manager/Care CoordinatorOther Service ProvidersPractice Address1995 Gentilly Blvd Ste C400, New Orleans, LA 70119-1700(504) 944-0453(504) 309-6798PECOS EnrollmentBased on the most recent information from CMS, provider Latasha Marshall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538603717Provider TypeIndividualFull NameMarshall, LatashaGenderFemaleSole ProprietorNoEnumeration Date12/7/2016Last Updated12/11/2023Contact InformationPractice LocationPractice Address1995 Gentilly Blvd Ste C400, New Orleans, LA 70119-1700Phone(504) 944-0453Fax(504) 944-0095Mailing LocationMailing Address4480 Gen Degaulle Dr, Ste. 117, New Orleans, LA 70131-6941Phone(504) 309-6798Fax(504) 407-2115Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer