Shirley Anne Lyons
Individual provider Active NPI Case Manager/Care Coordinator · Lake Providence, LA
NPI 1194239806 · NPPES record last updated May 23, 2018
Key facts
- NPI
- 1194239806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1700 Lake St
Lake Providence, LA 71254 - Phone
- (318) 559-0551
- NPI assigned
- Nov 17, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1700 Lake St
Lake Providence, LA 71254
Mailing address
1700 Lake St
Lake Providence, LA 71254-5208
Phone (318) 559-0551
Other providers in Lake Providence, LA
- Loving Touch Personal Care Service, Inc
- Loving Touch Personal Care Services Inc
- Elisha Lucas
- Brittany Lyons
- Laketha Lyons
- Nakeia Madere
- Myrtis Magee I
- Sonya Knight Martin
- Maria Diamond McCoy
- Brenda R. Miller
All providers in Lake Providence, 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 May 23, 2018. 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.