Elisia Minton
Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).
NPI number1982197851
StatusActive
Last updated in NPPESJun 12, 2019
Details
- NPI
- 1982197851
- Entity type
- Individual (NPI-1)
- Name
- Elisia Minton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2018
- Last updated
- Jun 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
7330 Fern Ave Ste 1102Shreveport, LA 71105-4989
Phone 318-524-9954 · Fax 318-524-9953
Mailing address
7330 Fern Ave Ste 1102Shreveport, LA 71105-4989
Phone 318-524-9954 · Fax 318-524-9953
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