Individual
REGINA R RYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, LAC
Contact information
Practice address
2400 TEXAS AVE UNIT 37776, SHREVEPORT, LA 71133-5083
(318) 709-9933
(318) 670-8683
Mailing address
PO BOX 37776, SHREVEPORT, LA 71133-7776
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CIT-5000
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-5097
LA
101YM0800X
Mental Health Counselor
PLC8349
LA
101YP2500X
Professional Counselor
Primary
8349
LA
101YP2500X
Professional Counselor
PLC8349
LA
171M00000X
Case Manager/Care Coordinator
PLC8349
LA
Other
Enumeration date
09/29/2015
Last updated
11/03/2023
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