Individual
TAKAILA OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905A MISSION 66, VICKSBURG, MS 39180-3711
(601) 738-5820
Mailing address
805 N BEECH ST, TALLULAH, LA 71282-3809
(318) 574-0098
(318) 574-0066
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
01/22/2026
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