Vickie Lynn Shyne

Individual provider Active NPI Case Manager/Care Coordinator · Springhill, LA

NPI 1346740958 · NPPES record last updated Aug 13, 2019

Key facts

NPI
1346740958
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
115 1St St NE
Springhill, LA 71075-3215
Phone
(318) 539-3335
NPI assigned
Feb 20, 2018
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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LA
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

115 1St St NE
Springhill, LA 71075-3215

Mailing address

9403 Mansfield Rd
Shreveport, LA 71118-3815
Phone (318) 861-8938

Other providers in Springhill, LA

All providers in Springhill, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.