Austin Michael Theriot, RPSS
Peer Specialist in Shreveport, LA. Individual provider (NPI-1).
NPI number1265261069
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1265261069
- Entity type
- Individual (NPI-1)
- Name
- Austin Michael Theriot
- Credential
- RPSS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2024
- Certification date
- Sep 9, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
527 Crockett StShreveport, LA 71101-3601
Phone 318-222-8511
Mailing address
2000 Fairfield AveShreveport, LA 71104-2002
Phone 318-222-8511
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All 39 Peer Specialist providers in Shreveport · All 11,081 providers in Shreveport
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