person
Samaria Randle Tisby
Mental Health Counselor in Shreveport, Louisiana
NPI 1932616661

Samaria Randle Tisby is a Mental Health Counselor based in Shreveport, LA and is specialized in Mental Health. Samaria Randle Tisby practices in Shreveport, LA. The NPI Number for Samaria Randle Tisby is 1932616661 and holds a License No. (Louisiana).

The current practice location address for Samaria Randle Tisby is 1632 Shepherd Dr, Shreveport, LA and can be reached out via phone at 318-415-8414.

Location: 1632 Shepherd Dr, Shreveport, LA, 71107-4955
person
Provider Profile Details
NPI Number
1932616661
Provider Name
Samaria Randle Tisby
Credential
Provider Entity Type
Individual
Gender
Female
Address
1632 Shepherd Dr, Shreveport, LA, 71107-4955
Phone Number
318-415-8414
Fax Number
Provider Enumeration Date
01/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1632 Shepherd Dr
City
State
Zip
71107-4955
Phone Number
318-415-8414
Fax Number
person
Provider Business Mailing Address Details
Address
1632 Shepherd Dr
City
State
Zip
71107-4955
Phone Number
318-415-8414
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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