Individual
TYESHA RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2159 GAUSE BLVD E UNIT 1005, SLIDELL, LA 70461-4229
(504) 270-7358
Mailing address
2159 GAUSE BLVD E UNIT 1005, SLIDELL, LA 70461-4229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600771346
—
LA
Enumeration date
07/21/2014
Last updated
03/27/2024
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