Individual
ALEXIS DOMONIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
151 FREESTATE BLVD, SHREVEPORT, LA 71107-6535
(318) 226-5990
Mailing address
8700 MILLICENT WAY, SHREVEPORT, LA 71115-2247
(318) 404-4042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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