| Ms Alisha Davis, LCSWW | |
|
510 E Stoner Ave, Shreveport, LA 71101-4243 | |
| (318) 221-8411 | |
| Not Available |
| Full Name | Ms Alisha Davis |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 510 E Stoner Ave, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174773295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4861 (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107531 (Texas) | Secondary |
| 104100000X | Social Worker | 4861 (Louisiana) | Primary |
| Entity Name | Red River Therapeutic Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003279654 PECOS PAC ID: 0143605345 Enrollment ID: O20220922004007 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Alisha Davis, LCSWW 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411 | Ms Alisha Davis, LCSWW 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411 |
Karl Reichter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 319-990-4401 | |
Mrs. Chelsey Vincent, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 856 Texas Ave, Shreveport, LA 71101 Phone: 318-429-6938 | |
Kemeco Taylor-small, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 Fax: 318-990-5599 | |
Mrs. Deborah Michele Dauzat, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5655 N Lakeshore Dr, Shreveport, LA 71107 Phone: 855-571-8387 Fax: 318-668-7811 | |
Mr. Dock Voorhies, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-424-6040 Fax: 318-424-6121 | |
Danielle Bailey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4111 Pines Rd Unit 65, Shreveport, LA 71119 Phone: 318-613-0147 | |
Charles Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6654 Gilbert Pl, Shreveport, LA 71106 Phone: 318-865-4360 |