Anthony Tisdale
Anthony Tisdale is a Case Manager/Care Coordinator in Shreveport, Louisiana. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
5704 Sweetwater DrShreveport, LA 71119-4018
Phone: (318) 402-2418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1588245690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 20, 2021 |
| Last updated in NPPES | March 16, 2023 |
| Certification date | March 16, 2023 |
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