Individual
MS. LISA REBECCA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 2924, SHREVEPORT, LA 71105-2415
(318) 754-3560
(318) 779-0439
Mailing address
5901 CANDLEWOOD LN, SHREVEPORT, LA 71119-6303
(318) 426-1729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/12/2017
Last updated
07/15/2019
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