Demariae Z Purifoy
Counselor, Mental Health in Shreveport, LA. Individual provider (NPI-1).
NPI number1164088613
StatusActive
Last updated in NPPESMay 9, 2019
Details
- NPI
- 1164088613
- Entity type
- Individual (NPI-1)
- Name
- Demariae Z Purifoy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2019
- Last updated
- May 9, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2800 Youree Dr Ste 482Shreveport, LA 71104-3666
Phone 318-869-1899
Mailing address
569 Magnolia DrMarrero, LA 70072-1112
Phone 318-820-8852
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 741 Mental Health Counselor providers in Shreveport · All 11,081 providers in Shreveport
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