Pheadre Genea Smith
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1366024176
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1366024176
- Entity type
- Individual (NPI-1)
- Name
- Pheadre Genea Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2021
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2620 Centenary Blvd Ste 312Shreveport, LA 71104-3358
Phone 318-681-9935 · Fax 318-681-9938
Mailing address
9503 Teche WayShreveport, LA 71118-4321
Phone 318-773-3080
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All 1,511 Case Manager/Care Coordinator providers in Shreveport · All 11,081 providers in Shreveport
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