person
Tyrell Small
Peer Specialist in Natchitoches, Louisiana
NPI 1326744517

Tyrell Small is a Peer Specialist based in Natchitoches, LA. Tyrell Small practices in Natchitoches, LA. The NPI Number for Tyrell Small is 1326744517 and holds a License No. (Louisiana).

The current practice location address for Tyrell Small is 210 Medical Dr, Natchitoches, LA and can be reached out via phone at 318-357-3122 and via fax at 318-357-3240.

Location: 210 Medical Dr, Natchitoches, LA, 71457-6052
person
Provider Profile Details
NPI Number
1326744517
Provider Name
Tyrell Small
Credential
Provider Entity Type
Individual
Gender
Male
Address
210 Medical Dr, Natchitoches, LA, 71457-6052
Phone Number
318-357-3122
Fax Number
318-357-3240
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 Medical Dr
City
State
Zip
71457-6052
Phone Number
318-357-3122
Fax Number
318-357-3240
person
Provider Business Mailing Address Details
Address
210 Medical Dr
City
State
Zip
71457-6052
Phone Number
318-357-3122
Fax Number
318-357-3240
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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