Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camryn Denham-Fairley

Individual provider Mental Health Counselor · NPI 1750892006

Camryn Denham-Fairley is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

8501 Millicent Way Apt 1088
Shreveport, LA 71115-2231
Phone: (225) 223-2620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7072 (LA)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1750892006
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2017
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

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