Tammy R Davis, MLP, PSS
Individual provider Active NPI Case Manager/Care Coordinator · Greenwell Springs, LA
NPI 1053977173 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1053977173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112 - Phone
- (225) 261-7143
- Fax
- (225) 205-1026
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112
Mailing address
6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112
Phone (225) 261-7143
Other providers in Greenwell Springs, LA
- Kenneth Chapman I
- Choices Family Medical Clinic LLC
- Michael Coleman II
- Community Choices Waiver
- Jasmine Davis
- Herschel B. Dean
- Robert Kyle Dean
- Tiffany Deaver
- Department of Health and Hospitals
- Randall Devall
All providers in Greenwell Springs, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.