Organization
REACH FOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA DESHAUN THOMAS APRN, FNP-C (OWNER)
(318) 317-1238
Entity
Organization
Contact information
Practice address
1701 OLD MINDEN RD STE 17F, BOSSIER CITY, LA 71111-4804
(318) 317-1238
(318) 390-1802
Mailing address
1701 OLD MINDEN RD STE 17F, BOSSIER CITY, LA 71111-4804
(318) 317-1238
(318) 390-1802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
07/06/2023
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